ASHLEY M. WANAGER (NPI# 1275859050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275859050 |
| Entity Type | Individual |
| Full Name | ASHLEY M. WANAGER |
| Other Name | ASHLEY KATHLEEN MCKINNEY |
| Credential | NP-C |
| Practice Address |
4700 Waters Ave Ste 507 Savannah GA 31404 |
| Mailing Address |
4700 Waters Ave Suite 507 Savannah GA 31404-6220 |
| Practice Telephone | 9123504750 |
| Practice Fax Number | 9123504751 |
| Mailing Telephone | 9123504750 |
| Mailing Fax Number | 9123504751 |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2018-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN184702 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 127207973A | 05 | |
| GA | AMERIGROUP | 01382063 | 01 |
| GA | RR MEDICARE | P00869902 | 01 |
| SC | NP1625 | 05 |
| Street Address |
4700 WATERS AVE STE 507 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457341778 | Jon Robert Beacher | Internal Medicine | 4700 Waters Ave Ste 507, Savannah, GA 31404-6220 | 2005-10-27 |
| 1598307324 | Matthew Dillon Melton | Nurse Practitioner | 4700 Waters Ave Ste 507, Savannah, GA 31404-6220 | 2019-10-14 |
| 1629620901 | Ashley Spring Edwards | Nurse Practitioner | 4700 Waters Ave Ste 507, Savannah, GA 31404-6220 | 2019-07-16 |
| 1750744249 | Heather Zimmerman | Registered Nurse | 4700 Waters Ave Ste 507, Savannah, GA 31404 | 2016-04-01 |
| 1427342070 | Sarah Ellen Elza Stephens | Internal Medicine | 4700 Waters Ave Ste 507, Savannah, GA 31404 | 2011-05-31 |
| 1023278967 | Domenick J Roma | Internal Medicine | 4700 Waters Ave Ste 507, Savannah, GA 31404 | 2008-06-13 |
| 1467677914 | Jason R Mcclune | Internal Medicine | 4700 Waters Ave Ste 507, Savannah, GA 31404 | 2007-04-17 |
| 1265595847 | Julia F. Johnson | Family Medicine | 4700 Waters Ave Ste 507, Savannah, GA 31404-6220 | 2006-12-18 |
| 1699854224 | Igor Viktorovich Aksenov | Internal Medicine | 4700 Waters Ave Ste 507, Savannah, GA 31404 | 2006-11-03 |
| 1841301140 | Kathia A. Ortiz-cantillo | Internal Medicine | 4700 Waters Ave Ste 507, Savannah, GA 31404-6220 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043864580 | Carli A Boatright | Registered Nurse | 4750 Waters Ave Suite 206, Savannah, GA 31404 | 2019-08-01 |
| 1619530573 | Morgan Johnson | Student in an Organized Health Care Education/Training Program | Memorial Health University Medical Center, 4700 Waters Ave, Savannah, GA 31404 | 2019-04-17 |
| 1477050243 | Kevin Timperman | Student in an Organized Health Care Education/Training Program | 4700 Waters Avenus, Surgery Residency Program, Mhumc, Savannah, GA 31404 | 2018-04-09 |
| 1376048959 | Nina Jo Paletta | Student in an Organized Health Care Education/Training Program | Memorial University Medical Center, 4700 Waters Ave., Savannah, GA 31404 | 2018-03-27 |
| 1972036200 | Jose Adrian Lara Gonzalez | Student in an Organized Health Care Education/Training Program | 4700 Waters Ave, Memorial University Medical Center, Internal Medicine Residency Program, Savannah, GA 31404 | 2017-04-04 |
| 1407210396 | Lexie Hester Vaughn | Student in an Organized Health Care Education/Training Program | 1250 East 66th St, Savannah, GA 31404 | 2016-04-07 |
| 1336503291 | Miles Love | Student in an Organized Health Care Education/Training Program | 1250 East 66th Street, Savannah, GA 31404 | 2016-04-07 |
| 1134536881 | David Patch | Specialist/Technologist | Pediatric Residency Program, Memorial University, Medical Center 4700 Waters Avenue, Savannah, GA 31404 | 2014-07-15 |
| 1962846683 | Alan Danilo Zevallos | Internal Medicine | 4700 Waters Avenue, University Medical Center, Internal Medicine Residency Program, Memorial Health, Savannah, GA 31404 | 2013-04-24 |
| 1730446394 | Joshua Ryan Fann | Prosthetist | 3840 Waters Ave, Savannah, GA 31404 | 2012-04-19 |
| Find all providers in zip 31404 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316820 | Odyne Rose Lacossiere-dorvilus | Nurse Practitioner | 30 Myrtlewood Dr, Savannah, GA 31405-1024 | 2020-11-06 |
| 1952900383 | Micaiah Mitchell | Nurse Practitioner | 10612 Middleground Rd Apt 513, Savannah, GA 31419-1268 | 2020-10-17 |
| 1104424712 | Yolanda Michelle Miller | Nurse Practitioner | 1651 Mckinnon Dr, Savannah, GA 31404-2319 | 2020-10-15 |
| 1730795386 | Shanika Graham | Nurse Practitioner | 2330 Coakley St, Savannah, GA 31404-4947 | 2020-09-18 |
| 1508479775 | Tonya L Creasy | Nurse Practitioner | 170 Barker Dr, Savannah, TN 38372-8419 | 2020-08-28 |
| 1356952394 | Elizabeth Woods Hammond | Nurse Practitioner | 107 W Liberty St Apt 6, Savannah, GA 31401-3965 | 2020-08-13 |
| 1740898915 | Bryan S Christain | Nurse Practitioner | 340 Hodgson Ct Ste 2, Savannah, GA 31406-1523 | 2020-07-14 |
| 1841814753 | Billie Sweeney | Nurse Practitioner | 134 Horse Creek Rd, Savannah, TN 38372-2984 | 2020-06-05 |
| 1609401140 | Malika Anderson Batie | Nurse Practitioner | 1632 Cloverdale Dr, Savannah, GA 31415-7814 | 2020-03-05 |
| 1760017206 | Evelia Johnsen | Nurse Practitioner | 11702 Mercy Blvd Ste 2g, Savannah, GA 31419-1777 | 2020-03-05 |
| Find all providers in SAVANNAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.