KELLY ANN WAGNER FNP-C, APRN
NPI 1659744316
Nurse Practitioner - Family in Savannah, GA

Q: What is Kelly Wagner's NPI number?

The NPI number for Kelly Wagner is 1659744316. It was assigned to this individual provider in the NPPES registry on November 3, 2015. The provider is also known as Kelly Ann Gaither.

Q: What is Kelly Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Wagner was last updated on June 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 03, 2015

1395 EISENHOWER DR, SAVANNAH, GA 31406(912) 356-2441 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 12, 2023, Aug 22, 2022, Aug 9, 2019 (3 updates tracked since 2019).

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About Kelly Ann Wagner Fnp-c, Aprn NPPES

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

KELLY ANN WAGNER FNP-C, APRN (NPI 1659744316) is an individual family provider in Savannah, Georgia, licensed in Georgia (RN266801) and active in the NPI registry since November 2015. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1659744316

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY ANN WAGNERCredential: FNP-C, APRN

Location Address1395 EISENHOWER DRSavannah, GA 31406-3901

Mailing Address18 S Cromwell RdSavannah, GA 31410-4421 · (410) 652-7666 · Fax (912) 216-3436

Phone(912) 356-2441

Sole ProprietorNo

Enumeration DateNovember 3, 2015

Last NPPES UpdateJune 12, 20233 updates tracked since enumeration

NPPES CertifiedJune 12, 2023

✔ NPI 1659744316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN266801

1395 EISENHOWER DR, Savannah, GA 31406

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Other Names 1

Former Name (1)Kelly Ann Gaither

Secondary Practice Locations 2

Location 16711 Forest Park DrSavannah, GA 31406-2507 · Phone (912) 616-8033 · Fax (912) 216-3436

Location 2321 Commercial DrSavannah, GA 31406-3662 · Phone (912) 616-8033 · Fax (912) 216-3436

Other Providers at the Same Location NPPES 20

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

DR. MICHAEL TODD ADAMS MD

General Practice