Kolyse Wagstaff Caver, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9521 Issued in GA

Practice address

1210 Roy Rd
Augusta, GA 30909-1812

Phone

(706) 860-6515

Fax

(706) 860-1225

NPI assigned

Oct 23, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kolyse Eliza Wagstaff Former name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neurological Asssociate of Augusta, PCGroup PAC ID 1951213586, 6 clinicians

Georgialina Physical Therapy Associates LLCGroup PAC ID 6002812401, 406 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028
• Wellstar MCG Health, Affiliated With Med Col Hospital, Augusta, GA, CCN 110034
• Doctors Hospital Hospital, Augusta, GA, CCN 110177

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: kolyse.wagstaff.1@23795.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neurological Asssociate of Augusta, PC

  • Neurology Physician
  • Augusta, GA
  • NPI 1437167137
  Medicare reassignment Care Compare group
• Georgialina Physical Therapy Associates LLC

  • Physical Therapist
  • Augusta, GA
  • NPI 1679286934
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Au Medical Center, Inc

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1437135902
  Care Compare affiliation
• Doctors Hospital of Augusta LLC

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1912951963
  Care Compare affiliation
• University Health Services,Inc

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1588665566
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1891338703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 ROY RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091812",
            "telephone_number": "706-860-6515",
            "fax_number": "706-860-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 ROY RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091812",
            "telephone_number": "706-860-6515",
            "fax_number": "706-860-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVER",
        "first_name": "KOLYSE",
        "middle_name": "WAGSTAFF",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "9521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KOLYSE",
            "last_name": "WAGSTAFF",
            "middle_name": "ELIZA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexander Harrison Caudill, DO
• William Tyler Caudle, LMT, CPT
• Wyatt Franklin Caughman, DMD
• Cynthia Danielle Causey, M.S., LPC
• Stuart A Cavalieri, MD
• Benjamin Joseph Caviston, MD
• Winifred Jeanne Cawthorne-Josey, OTR/L
• Natalie Caylor
• Jason Allen Caywood, D.O.
• David Michael Cazares, M.D.

• Physician Assistant in Augusta, GA
• Providers in Augusta, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.