Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Derek Lamont Wagner, MD

Individual provider General Practice Physician · NPI 1659012169

Dr. Derek Lamont Wagner, MD is a General Practice Physician in Nashville, Tennessee. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan and Tennessee.

Licensed in
MI, TN
In the registry since
2022
Specialties on file
2
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

1005 Dr Db Todd Jr Blvd
Nashville, TN 37208-3501
Phone: (615) 327-6385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6071 W Outer Dr, Detroit, MI 48235-2624 — (313) 966-3300

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (TN)
General Practice Physician Taxonomy 208D00000X · Licence 4301512090 (MI)

Record details

NPI number1659012169
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 6, 2022
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026

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