MR. JOHNNY WAYNE BAGWELL MD
NPI 1568424869
Family Medicine in Garner, NC

Active since April 04, 2006
801 POOLE DR, GARNER, NC 27529(919) 779-1440(919) 662-0613 Get Directions Write a Review

NPPES record last updated: October 22, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Johnny Wayne Bagwell Md NPPES

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

MR. JOHNNY WAYNE BAGWELL MD (NPI 1568424869) is an individual family medicine provider in Garner, North Carolina, licensed in North Carolina (23249) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1568424869
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. JOHNNY WAYNE BAGWELLCredential: MD
Location Address801 POOLE DRGarner, NC 27529-5207
Mailing Address801 Poole DrGarner, NC 27529-5207 · (919) 779-1440 · Fax (919) 662-0613
Fax(919) 662-0613
Sole ProprietorNo
Enumeration DateApril 4, 2006
Last NPPES UpdateOctober 22, 2009
NPI 1568424869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 23249
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
801 POOLE DR, Garner, NC 27529

Other Identifiers 3

Medicare ID-Type Unspecified204577C
Medicaid8912480NC
Medicare UPINC82665

Other Providers at the Same Location NPPES 19

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

Family Medicine
801 POOLE DR
GARNER, NC 27529
Family Medicine
801 POOLE DR
GARNER, NC 27529
Family Medicine
801 POOLE DR
GARNER, NC 27529
Family Medicine
801 POOLE DR
GARNER, NC 27529
Nurse Practitioner (Family)
801 POOLE DR
GARNER, NC 27529
Dietitian, Registered
801 POOLE DR
GARNER, NC 27529
Dietitian, Registered
801 POOLE DR
GARNER, NC 27529
Family Medicine
801 POOLE DR
GARNER, NC 27529

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 Johnny Bagwell's NPI number?

The NPI number for Johnny Bagwell is 1568424869. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Johnny Bagwell located?

Johnny Bagwell practices at 801 Poole Dr, Garner, NC 27529. The listed phone number is (919) 779-1440.

What is Johnny Bagwell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Johnny Bagwell was last updated on October 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.