Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Rodger Keith Wagoner, P.A.-C

Physician Assistant in Albany, GA · enumerated 2012.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194079657

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Registry record

Entity type Individual (Type 1)

Name Mr. Rodger Keith Wagoner

Credential P.A.-C

Sex Male

Practice address 2405 Osler Ct, Albany, GA, 31707

Phone (229) 435-1458

Fax (229) 317-2342

Enumeration date Nov 6, 2012

Last updated in NPPES Feb 12, 2016

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 006662 (GA) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Rodger Wagoner practice?

The practice location on file with NPPES is in Albany, GA. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Rodger Wagoner?

The National Provider Identifier (NPI) for Rodger Wagoner is 1194079657, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-02-12.