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

Mr. Rodger Keith Wagoner, PA-C

Individual provider Physician Assistant · NPI 1194079657

Mr. Rodger Keith Wagoner, PA-C is a Physician Assistant in Albany, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2405 Osler Ct
Albany, GA 31707-0214
Phone: (229) 435-1458
Fax: (229) 317-2342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 006662 (GA)

Record details

NPI number1194079657
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 6, 2012
Last updated in NPPESFebruary 12, 2016

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