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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AUDREY ANNE WAGNER, MD

Active Sole Proprietor

AUDREY ANNE WAGNER, MD is a Family Medicine healthcare provider located in MADISON, Tennessee. NPI 1619556388 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · MADISON, TN

Registration Details

NPI Number
1619556388
Provider Type
Individual
Gender
Female
NPI Issued
Apr 7, 2021 (5.3440401655089 yrs)
Last Updated
Feb 20, 2026
Licenses
76333 (TN)
ME158286 (FL)
Sole Proprietor
Yes

Practice Information

Address
601 W DUE WEST AVE
MADISON, TN, 371154423
Browse TN providers · Browse ZIP 37115
Phone
6152273000
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in MADISON, TN

Name Credential NPI
DR. CATHY L HAMMOND-MOULTON M.D. 1841282654
HARRY JOSEPH BONNAIRE M.D. 1083609481
MR. TONY A FREEMAN MD 1285615278
DR. PETER T. GELESKIE M.D. 1609840131
DR. JOHN C JORDAN MD 1285675215
DR. PETER JOSEPH SEARS MD 1972607042
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.