DR. HARVEY SAMUEL WAGES JR. (NPI# 1649371998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649371998 |
| Entity Type | Individual |
| Full Name | DR. HARVEY SAMUEL WAGES JR. |
| Credential | M.D. |
| Practice Address |
1105 Burleyson Rd Dalton GA 30720-3017 |
| Practice Telephone | 7062784640 |
| Practice Fax Number | 7062756599 |
| Mailing Telephone | 7062784640 |
| Mailing Fax Number | 7062756599 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2011-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 012017 | GA | Allopathic & Osteopathic Physicians |
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
012017 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00093585A | 05 |
| Street Address |
1105 BURLEYSON RD |
| City | DALTON |
| State | GA |
| Zip Code | 30720-3017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588775605 | Rita-marie Davis | Advanced Practice Midwife | 1105 Burleyson Rd, Dalton, GA 30720-3181 | 2006-08-31 |
| 1255740650 | Jamie Lynn Gallagher | Nurse Practitioner | 1105 Burleyson Rd, Dalton, GA 30720-3181 | 2014-08-11 |
| 1235402710 | Nichole Nguyen | Advanced Practice Midwife | 1105 Burleyson Rd, Dalton, GA 30720 | 2012-02-15 |
| 1548414782 | Michelle Blalock Edgeman | Nurse Practitioner | 1105 Burleyson Rd, Dalton, GA 30720-3181 | 2008-11-14 |
| 1134305204 | Angela S Wood | Obstetrics & Gynecology | 1105 Burleyson Rd, Dalton, GA 30720-3181 | 2008-01-18 |
| 1437363751 | Aog Aesthetics | Clinic/Center | 1105 Burleyson Rd, Suite 1, Dalton, GA 30720-3017 | 2007-05-09 |
| 1194861435 | Susan Cockburn | Advanced Practice Midwife | 1105 Burleyson Rd, Dalton, GA 30720-3017 | 2007-01-30 |
| 1790822914 | Wanda Mcclellan | Advanced Practice Midwife | 1105 Burleyson Rd, Dalton, GA 30720-3017 | 2007-01-30 |
| 1861538068 | Judy Martin | Advanced Practice Midwife | 1105 Burleyson Rd, Dalton, GA 30720-3017 | 2007-01-29 |
| 1457497570 | Joellen Wingate | Advanced Practice Midwife | 1105 Burleyson Rd, Dalton, GA 30720-3017 | 2007-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
| Find all providers in zip 30720 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558998070 | Gynecology Associates of Georgia | Obstetrics & Gynecology | 101 St Josephs Candler Dr Ste 300, Pooler, GA 31322-9588 | 2020-03-25 |
| 1295360949 | Premier Women's Gyn, LLC | Obstetrics & Gynecology | 101 Yorktown Dr Ste 224, Fayetteville, GA 30214-1578 | 2020-03-03 |
| 1073074175 | Mobile Md, LLC | Obstetrics & Gynecology | 746 Royal Springs Ln, Grovetown, GA 30813-4534 | 2019-03-29 |
| 1528565785 | Schilling Cosmetic Surgery & Aesthetics, LLC | Obstetrics & Gynecology | 1757 Rock Quarry Rd Ste A, Stockbridge, GA 30281-7303 | 2018-04-12 |
| 1356870547 | Her Wellness Center, LLC | Obstetrics & Gynecology | 1763 Highway 196 W, Hinesville, GA 31313-8013 | 2017-06-09 |
| 1245769777 | Better Health Better Life LLC | Obstetrics & Gynecology | 2398 Mount Vernon Rd Ste 150, Dunwoody, GA 30338-3064 | 2017-06-08 |
| 1699115451 | Jeffrey Alan Bernstein | Obstetrics & Gynecology | 655 Widgeon Lane, Atlanta, GA 30327 | 2013-06-26 |
| 1376899179 | Earl Edwin Sands | Obstetrics & Gynecology | 2200 Blackheath Trce, Alpharetta, GA 30005-6978 | 2012-07-30 |
| 1063788784 | Joseph Rudolph Prine Sr. | Obstetrics & Gynecology | 1216 Chennault Dr, Dublin, GA 31021-3006 | 2012-03-27 |
| 1871865113 | Candace Marvenia Tillman | Obstetrics & Gynecology | 477 Windsor St. Sw, Ste. 309, Atlanta, GA 30312 | 2012-02-02 |
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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.