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

Individual provider Psychiatry Physician · NPI 1508974544

Mark W Wagner, MD is a Psychiatry in Charleston, South Carolina. Graduated from University of Cincinnati College of Medicine in 1989, 37 years ago. Practices with The Lakes Region Mental Health Center, Inc, a 21-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
37
Trained at
University of Cincinnati College of Medicine
Licensed in
SC
In the registry since
2006
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

171 Ashley Ave
Charleston, SC 29425-0001
Phone: (843) 792-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 15073 (SC)

Record details

NPI number1508974544
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESSeptember 6, 2011

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice The Lakes Region Mental Health Center, Inc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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