MRS. MUNA ELIZABETH WAGNER (FNP) – Nurse Practitioner, NPI 1497894133
Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for MRS. MUNA ELIZABETH WAGNER (FNP)
1200 MEMORIAL DR
DALTON, GA 307202529
Phone: (844) 724-4673
Fax: (706) 217-2054
Type: Location
203 FORREST PARK RD
DALTON, GA 30721
Phone: (706) 259-3712
Type: Mailing
4441 Atlanta Rd SE Ste 216
Smyrna, GA 300806442
Phone: (470) 956-4120
Fax: (678) 842-5535
Type: Location
1413 CHATTANOOGA AVE
Dalton, GA 307202631
Phone: (706) 279-2635
Fax: (706) 279-2679
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-11-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091106000415 | I | Nurse Practitioner | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 31 | 24 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 31 | 24 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 30720)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Internal Medicine | GA | |
| Internal Medicine | GA | |
| Internal Medicine, Orthopedic Surgery | TN | |
| Internal Medicine | GA | |
| Cardiovascular Disease (Cardiology) | GA | |
| Medical Oncology | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| - | GA |
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