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EVAN JAMES BAGWELL
NPI 1164904264
Student in an Organized Health Care Education/Training Program in Athens, GA

Active since September 05, 2018
330 RIVER RD, ATHENS, GA 30602(864) 934-7523 Get Directions Write a Review

NPPES record last updated: September 5, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Evan James Bagwell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVAN JAMES BAGWELL (NPI 1164904264) is an individual student in an organized health care education/training program in Athens, Georgia and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1164904264
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEVAN JAMES BAGWELL
Location Address330 RIVER RDAthens, GA 30602-1538
Mailing Address153 Massey RdPiedmont, SC 29673-9056
Phone(864) 934-7523
Sole ProprietorNo
Enumeration DateSeptember 5, 2018
✔ NPI 1164904264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
330 RIVER RD, Athens, GA 30602
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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLANREWAJU AKANDE
Specialist/Technologist (Athletic Trainer)
330 RIVER RD
ATHENS, GA 30602
Clarke County (678) 549-6801
COLLEEN KINSELLA
Student in an Organized Health Care Education/Training Program
330 RIVER RD
ATHENS, GA 30602
Clarke County (706) 452-5060
ALEXIS MARIE MANCINI
Student in an Organized Health Care Education/Training Program
330 RIVER RD
ATHENS, GA 30602
Clarke County (706) 542-4378
ANNA CATHERINE JESSUP
Student in an Organized Health Care Education/Training Program
330 RIVER RD
ATHENS, GA 30602
Clarke County (706) 542-5060
AUBREY MCCOY BAUCOM
Specialist/Technologist (Athletic Trainer)
330 RIVER RD
ATHENS, GA 30602
Clarke County (706) 542-4378
VICTORIA ELAINE VANDEUSEN
Specialist/Technologist (Athletic Trainer)
330 RIVER RD
ATHENS, GA 30602
Clarke County (706) 542-4378
ALANNAH HARMON
Specialist/Technologist (Athletic Trainer)
330 RIVER RD
ATHENS, GA 30602
Clarke County (703) 597-5257
MARIA IZABELLA WOJCIK
Specialist/Technologist (Athletic Trainer)
330 RIVER RD
ATHENS, GA 30602
Clarke County (706) 542-4378

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evan Bagwell's NPI number?

The NPI number for Evan Bagwell is 1164904264. It was assigned to this individual provider in the NPPES registry on September 5, 2018.

Where is Evan Bagwell located?

Evan Bagwell practices at 330 River Rd, Athens, GA 30602. The listed phone number is (864) 934-7523.

What is Evan Bagwell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Evan Bagwell was last updated on September 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.