Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elivia Wagner, PA-C

Individual provider Physician Assistant · NPI 1043095573

Elivia Wagner, PA-C is a Physician Assistant in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2023.

Licensed in
GA
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

550 Peachtree St NE
Atlanta, GA 30308-2212
Phone: (404) 686-4411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 11962 (GA)
Physician Assistant Taxonomy 363A00000X (GA)

Record details

NPI number1043095573
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 31, 2023
Last updated in NPPESOctober 9, 2023
Certification dateOctober 9, 2023

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