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MR. RODGER KEITH WAGONER P.A.-C
NPI 1194079657
Physician Assistant in Albany, GA

Active since November 06, 2012PECOS Enrolled
2405 OSLER CT, ALBANY, GA 31707(229) 435-1458(229) 317-2342 Get Directions Write a Review

NPPES record last updated: February 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Rodger Keith Wagoner P.a.-c NPPES

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

MR. RODGER KEITH WAGONER P.A.-C (NPI 1194079657) is an individual physician assistant in Albany, Georgia, licensed in Georgia (006662) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194079657
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. RODGER KEITH WAGONERCredential: P.A.-C
Location Address2405 OSLER CTAlbany, GA 31707-0214
Mailing AddressPo Box 70969Albany, GA 31708-0969 · (229) 435-1458 · Fax (229) 317-2342
Phone(229) 435-1458
Fax(229) 317-2342
Sole ProprietorNo
Enumeration DateNovember 6, 2012
Last NPPES UpdateFebruary 12, 2016
✔ NPI 1194079657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 006662
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2405 OSLER CT, Albany, GA 31707
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Rodger Keith Wagoner P.a.-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31707 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

MRS. LINDSAY TOMPKINS CARR PA-C
Physician Assistant
2405 OSLER CT
ALBANY, GA 31707
Dougherty County (229) 435-1458
MISS SARAH CLAIRE HARRINGTON DPT
Physical Therapist
2405 OSLER CT, SUITE 200
ALBANY, GA 31707
Dougherty County (229) 883-4009
MS. LISA D GRAVES FNP
Nurse Practitioner
2405 OSLER CT
ALBANY, GA 31707
Dougherty County (229) 435-1458
KAREN RENEE HAMBY PHYSICAL THERAPIST
Physical Therapist
2405 OSLER CT
ALBANY, GA 31707
Dougherty County (229) 435-1458
PREMIER ORTHOPEDICS PC
Orthopaedic Surgery
2405 OSLER CT
ALBANY, GA 31707
Dougherty County (229) 435-1458
TIMOTHY BARRETT CHAFFIN FNP
Nurse Practitioner (Family)
2405 OSLER CT
ALBANY, GA 31707
Dougherty County (229) 435-1458
MS. JEAN E LARSON PA C
Physician Assistant
2405 OSLER CT, MEREDYTH PROFESSIONAL PLAZA
ALBANY, GA 31707
Dougherty County (229) 435-1458
MS. LACEY SLAUGHTER SMITH PTA
Physical Therapy Assistant
2405 OSLER CT, SUITE 200
ALBANY, GA 31707
Dougherty County (229) 883-4009

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 Rodger Wagoner's NPI number?

The NPI number for Rodger Wagoner is 1194079657. It was assigned to this individual provider in the NPPES registry on November 6, 2012.

Where is Rodger Wagoner located?

Rodger Wagoner practices at 2405 Osler Ct, Albany, GA 31707. The listed phone number is (229) 435-1458.

What is Rodger Wagoner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Rodger Wagoner enrolled in Medicare?

Yes. Rodger Wagoner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rodger Wagoner was last updated on February 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.