Active NPI
Anythony W Wagner
- Sonography Specialist/Technologist Cardiovascular
- Atlanta, GA
National Provider Identifier
1780141903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Specialist/Technologist Cardiovascular
- Practice address
- 1755 The Exchange SE Ste 303
Atlanta, GA 30339-7403 - Phone
- (404) 981-3573
- NPI assigned
- Feb 24, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Specialist/Technologist Cardiovascular | 246XS1301X | Primary |
Addresses
Primary practice location
1755 The Exchange SE Ste 303
Atlanta, GA 30339-7403
Mailing address
1464 S Gordon St SW
Atlanta, GA 30310-2332
Phone (404) 252-1102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550966400000",
"number": "1780141903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1464 S GORDON ST SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303102332",
"telephone_number": "404-252-1102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 THE EXCHANGE SE STE 303",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303397403",
"telephone_number": "404-981-3573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "ANYTHONY",
"middle_name": "W",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-24",
"last_updated": "2019-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "246XS1301X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist Cardiovascular, Sonography",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.