Active NPI
Ashley King Wafford, PA
- Physician Assistant
- Newnan, GA
National Provider Identifier
1932676681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 745 Poplar Rd
Newnan, GA 30265-1618 - Phone
- (770) 400-1000
- NPI assigned
- Oct 31, 2018
- Last updated
- May 16, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | GA | Primary |
Addresses
Primary practice location
745 Poplar Rd
Newnan, GA 30265-1618
Mailing address
955 Juniper St NE Unit 3028
Atlanta, GA 30309-5117
Phone (678) 895-8084
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Newnan, GA
- NPI 1245556588
-
- Emergency Medicine Physician
- Fayetteville, GA
- NPI 1427817881
-
- Surgery Physician
- Riverdale, GA
- NPI 1043677271
-
- Emergency Medicine Physician
- Conyers, GA
- NPI 1437629342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1932676681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 JUNIPER ST NE UNIT 3028",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303095117",
"telephone_number": "678-895-8084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 POPLAR RD",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302651618",
"telephone_number": "770-400-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAFFORD",
"first_name": "ASHLEY",
"middle_name": "KING",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-31",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newnan, GA
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- Kent Alan Voyce, OD
- VSM Aberdeen Dental LLC (Aberdeen Dental)
- Margaret C Wade, RPH
- Stacey Waggoner, EMT-A
- Kurt Louis Wahnschaff
- Mary Catherine Waite
- Nicole Elizabeth Waitt, M.ED., BCBA
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0494)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.