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

Michael Wayne Wagoner, DO

Individual provider Family Medicine Physician · NPI 1902429749

Michael Wayne Wagoner, DO is a Family Practice in Celina, Texas. Graduated from Alabama College of Osteopathic Medicine in 2020, 6 years ago. Practices with Primary Health Physicians PLLC, a 238-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
6
Trained at
Alabama College of Osteopathic Medicine
Licensed in
TX
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1109 Azure Ln
Celina, TX 75009-1798
Phone: (757) 971-0190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence T5488 (TX)

Record details

NPI number1902429749
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 27, 2020
Last updated in NPPESJune 26, 2024
Certification dateJune 26, 2024
Mailing address1109 Azure Ln, Celina, TX 75009-1798

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolALABAMA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2020 (6 years in practice)
Group practice Primary Health Physicians Pllc — 238 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Celina