IndividualActive
Audrey Wagner, MD
NPI 1619556388 · Family Medicine Physician · Madison, TN
Provider details
- NPI number
- 1619556388
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 76333 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Allopathic & Osteopathic Physicians
Practice location
601 W Due West Ave
Madison, TN 37115-4423
Phone: (615) 227-3000
Approximate (ZIP-level) locationGet directions
Mailing address
2711 Foster Ave
Nashville, TN 37210-5307
Additional practice locations (3)
- 8960 Colonial Center Dr Ste 300Fort Myers, FL 33905-7810Phone: (239) 343-9470Fax: (239) 343-9498
- 2780 Cleveland Ave Ste 709Fort Myers, FL 33901-5857Phone: (239) 343-2371
- 617 S 8th StNashville, TN 37206-3819Phone: (615) 227-3000
Registry dates
- Enumerated
- 2021-04-07
- Last updated
- 2026-02-20
- Certified
- 2026-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.