CALLIE WILKES HAGAN
NPI 1639831548
Pediatrics in Vidalia, GA

Q: What is Callie Hagan's NPI number?

The NPI number for Callie Hagan is 1639831548. It was assigned to this individual provider in the NPPES registry on October 7, 2021.

Q: What is Callie Hagan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Callie Hagan was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since October 07, 2021

303 HARRIS INDUSTRIAL BLVD STE 3, VIDALIA, GA 30474(912) 537-9355 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2025, Oct 7, 2021 (2 updates tracked since 2021).

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About Callie Wilkes Hagan NPPES

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

CALLIE WILKES HAGAN (NPI 1639831548) is an individual pediatrics provider in Vidalia, Georgia, licensed in Georgia (10722) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1639831548

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameCALLIE WILKES HAGAN

Location Address303 HARRIS INDUSTRIAL BLVD STE 3Vidalia, GA 30474-8854

Mailing Address1706 Knollwood StVidalia, GA 30474-5454 · (912) 326-4159

Phone(912) 537-9355

Sole ProprietorNo

Enumeration DateOctober 7, 2021

Last NPPES UpdateDecember 29, 20252 updates tracked since enumeration

NPPES CertifiedDecember 29, 2025

✔ NPI 1639831548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in GA · 10722

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

303 HARRIS INDUSTRIAL BLVD STE 3, Vidalia, GA 30474

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Other Identifiers 1

Other10722GA · Ga Medical Board

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 8

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

JESSI ERICA WOODS

Nurse Practitioner (Family)