EVAH WANGUNGU
NPI 1184176455
Nurse Practitioner - Family in Carrollton, GA

NPI Status: Active since November 02, 2016

Contact Information

705 DIXIE ST
CARROLLTON, GA
ZIP 30117
Phone: (770) 838-8824

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  • Individual
  • Female
  • Nurse Practitioner
  • Family
  • PECOS Enrolled

About EVAH WANGUNGU

This page provides the complete NPI Profile along with additional information for Evah Wangungu, a provider established in Carrollton, Georgia with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1184176455 assigned on November 2016. The practitioner's primary taxonomy code is 363LF0000X with license number RN206115 (GA). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1184176455
Provider Name
EVAH WANGUNGU
Gender
Female
Entity Type
Individual
Location Address
705 DIXIE ST CARROLLTON, GA 30117
Location Phone
(770) 838-8824
Mailing Address
119 AMBULANCE DR SUITE 202 CARROLLTON, GA 30117
Mailing Phone
(770) 838-8824
Is Sole Proprietor?
No
Enumeration Date
11-02-2016
Last Update Date
01-10-2017
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A nurse practitioner (NP) like Evah Wangungu is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
RN206115
License State
GA

Medicare Participation & PECOS Enrollment Status

Evah Wangungu is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 30117 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $83.23
  • Minimum New Patient Price $53.31
  • Maximum New Patient Price $164.04
  • Average New Patient Copayment $20.8
  • Minimum New Patient Copayment $13.32
  • Maximum New Patient Copayment $41.01

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $94.84
  • Minimum Established Patient Price $16.68
  • Maximum Established Patient Price $133.24
  • Average Established Patient Copayment $23.71
  • Minimum Established Patient Copayment $4.17
  • Maximum Established Patient Copayment $33.31

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for EVAH WANGUNGU

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1184176455
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211642712410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 2 + 7 + 1 + 2 + 4 + 1 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1184176455 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407848799 LAWRENCE BRETT CARTER PHARMD
Individual
Pharmacist705 DIXIE ST
CARROLLTON, GA 30117
(770) 836-9623
1619950904DR. PRENTICE MICHAEL MCCULLOUGH M.D.
Individual
Anesthesiology705 DIXIE ST
CARROLLTON, GA 30117
(770) 812-5730
1619953882TANNER MEDICAL CENTER, INC.
Organization
Skilled Nursing Facility705 DIXIE ST
CARROLLTON, GA 30117
(770) 836-9697
1508842774TANNER MEDICAL CENTER, INC.
Organization
Psychiatric Unit705 DIXIE ST
CARROLLTON, GA 30117
(770) 836-9697
1790759165DR. HO NIEN LIN M.D.
Individual
Radiology (Diagnostic Radiology)705 DIXIE ST
CARROLLTON, GA 30117
(770) 836-9660
1871567743DR. JOHN FRANCIS ARNOLD M.D.
Individual
Radiology (Nuclear Radiology)705 DIXIE ST
CARROLLTON, GA 30117
(770) 836-9660
1063486843DR. THOMAS LEWIS SISTRUNK M.D.
Individual
Radiology (Diagnostic Radiology)705 DIXIE ST
CARROLLTON, GA 30117
(770) 836-9660
1699740365DR. BRITT CALLAHAN WILSON M.D.
Individual
Radiology (Diagnostic Radiology)705 DIXIE ST
CARROLLTON, GA 30117
(770) 836-9660
1457314783MR. CARL A YOUNG CRNA
Individual
Nurse Anesthetist, Certified Registered705 DIXIE ST
CARROLLTON, GA 30117
(770) 836-9666
1134183775DR. TUNICIA GIRON MD
Individual
Anesthesiology705 DIXIE ST
CARROLLTON, GA 30117
(800) 232-5703
1144284795 JEFFREY DISHMAN CRNA
Individual
Nurse Anesthetist, Certified Registered705 DIXIE ST
CARROLLTON, GA 30117
(800) 232-5703
1023072675DR. ODESSA KIRSTEN SPRAGGINS MD
Individual
Anesthesiology705 DIXIE ST
CARROLLTON, GA 30117
(800) 232-5703
1215991831MRS. JACQUELINE DUSO CRNA
Individual
Nurse Anesthetist, Certified Registered705 DIXIE ST
CARROLLTON, GA 30117
(800) 232-5703
1033173109DR. MICHAEL HAMNER DO
Individual
Anesthesiology705 DIXIE ST
CARROLLTON, GA 30117
(800) 232-5703
1184688277DR. JOHN H HARRISON MD
Individual
Anesthesiology705 DIXIE ST
CARROLLTON, GA 30117
(800) 232-5703
1831155159 RAY STEDWELL M.D.
Individual
Emergency Medicine705 DIXIE ST
CARROLLTON, GA 30117
(770) 836-9666
1518923747 ANTHONY FORD M.D.
Individual
Emergency Medicine705 DIXIE ST
CARROLLTON, GA 30117
(770) 836-9666
1457317695 ERIC HEINE M.D.
Individual
Emergency Medicine705 DIXIE ST
CARROLLTON, GA 30117
(770) 836-9666
1851358881MR. RAY CHARLES CAMPBELL CRNA
Individual
Nurse Anesthetist, Certified Registered705 DIXIE ST
CARROLLTON, GA 30117
(770) 836-9806
1982661880 BENJAMIN CAMP M.D.
Individual
Emergency Medicine705 DIXIE ST
CARROLLTON, GA 30117
(770) 836-9666

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184176455, enumerated in the NPI registry as an "individual" on November 02, 2016

The provider is located at 705 Dixie St Carrollton, Ga 30117 and the phone number is (770) 838-8824

The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $83.23 with an average copayment of $20.8 for new patient appointments. Established patients should expect a typical charge of $94.84 and an average copayment of 23.71. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on November 02, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.