DR. CHARLES A BAGWELL (MD) – Surgery Physician, NPI 1366417479

DR. CHARLES A BAGWELL (MD) is a healthcare provider. based in Alma, Georgia. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 050494 (GA). The NPI Number for DR. CHARLES A BAGWELL (MD) is 1366417479

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES A BAGWELL (MD)
NPI
1366417479
Phone
(912) 384-5832
Address
204 E 15th St
Enumeration Date
22 February 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
9123835641
Graduation Year
2001 (25 years ago)
PAC ID
2466531629
Group Practice PAC ID
4880834050
Professional Enrollment ID
I20080430000170
Address ID
GA315332262DO1101XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,092 GENERAL SURGERY in GA

Provider Addresses for DR. CHARLES A BAGWELL (MD)

  • 204 E 15th St

    Alma, GA 315102908

    Phone: (912) 384-5832

    Fax: (912) 383-8279

    Type: Location

  • 1100 WARD STREET EXT W

    DOUGLAS, GA 315331902

    Phone: (912) 384-1477

    Fax: (912) 384-1470

    Type: Mailing

  • Doctors Drive, Douglas, Coffee County, Georgia, 31534, United States

    DOUGLAS, GA 315332211

    Phone: (912) 384-5832

    Fax: (912) 383-8279

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $39.

Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.

Last reported payment date: 2024-07-23 • Largest payer in this snapshot: Baxter Healthcare ($24).

Total Amount

$39

General + Research + Ownership

Payments

2

Total payment records

General Amount

$39

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-04-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080430000170IGeneral SurgeryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making152142$0
99284Emergency department visit with moderate level of medical decision making8076$0
View full utilization report →

Insurance plans in this area (ZIP 31510)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880834050View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
Internal Medicine, Emergency MedicineGA
Family Practice, Emergency MedicineGA
Nurse PractitionerGA
-SC
Internal MedicineGA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. CHARLES A BAGWELL (MD)'s NPI?
Yes. DR. CHARLES A BAGWELL (MD) is listed with NPI 1366417479 in the public NPI dataset.
Can I rely on DR. CHARLES A BAGWELL (MD) being an active provider?
As of the registry snapshot, DR. CHARLES A BAGWELL (MD) is marked active.
What taxonomy line describes DR. CHARLES A BAGWELL (MD)?
For research purposes, treat DR. CHARLES A BAGWELL (MD) as Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. CHARLES A BAGWELL (MD) serve?
DR. CHARLES A BAGWELL (MD)'s listing highlights Alma, Georgia; more addresses can appear in NPPES.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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