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

William Van Wagstaff

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790219756

William Van Wagstaff is a Diagnostic Radiology in Atlanta, Georgia. Graduated from University of Virginia School of Medicine in 2017, 9 years ago. Practices with Radiology Associates of Atlanta PA, a 40-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Trained at
University of Virginia School of Medicine
Licensed in
GA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1984 Peachtree Rd NW Ste 505
Atlanta, GA 30309-5219
Phone: (877) 263-8651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1215 Lee St, Charlottesville, VA 22908-0816 — (434) 924-3627

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 94776 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1790219756
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 17, 2017
Last updated in NPPESJune 21, 2023
Certification dateJune 21, 2023
Mailing addressPo Box 2326, Indianapolis, IN 46206-2326

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Radiology Associates Of Atlanta Pa — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Atlanta