Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Audrey Anne Wagner, MD

Individual provider Family Medicine Physician · NPI 1619556388

Audrey Anne Wagner, MD is a Family Practice in Madison, Tennessee. Graduated from University of Missouri, Columbia School of Medicine in 2021, 5 years ago. Practices with Lee Health System Inc, a 1,375-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Tennessee.

Years since qualifying
5
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
FL, TN
In the registry since
2021
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

601 W Due West Ave
Madison, TN 37115-4423
Phone: (615) 227-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 2780 Cleveland Ave Ste 709, Fort Myers, FL 33901-5857 — (239) 343-2371
  • 8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905-7810 — (239) 343-9470
  • 617 S 8th St, Nashville, TN 37206-3819 — (615) 227-3000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 76333 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Family Medicine Physician Taxonomy 207Q00000X · Licence ME158286 (FL)

Record details

NPI number1619556388
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 7, 2021
Last updated in NPPESFebruary 20, 2026
Certification dateFebruary 20, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Lee Health System Inc — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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