JAMES LANDIS WAGNER (M.D.) – Emergency Medicine Physician, NPI 1104147297

JAMES LANDIS WAGNER (M.D.) is a healthcare provider. based in Chattanooga, Tennessee. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME121944 (FL). The NPI Number for JAMES LANDIS WAGNER (M.D.) is 1104147297

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
JAMES LANDIS WAGNER (M.D.)
NPI
1104147297
Phone
(423) 778-7000
Address
975 E 3RD ST
Enumeration Date
13 June 2010
Last Update Date
30 January 2019

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
3052940011
Graduation Year
1986 (40 years ago)
PAC ID
5092951525
Group Practice PAC ID
1658359062
Professional Enrollment ID
I20150513000567
Address ID
FL330403632KE1980XBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:15State licenses:2Digital endpointsOther names

1,131 EMERGENCY MEDICINE in TN

Provider Addresses for JAMES LANDIS WAGNER (M.D.)

  • 975 E 3RD ST

    CHATTANOOGA, TN 374032147

    Phone: (423) 778-7000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-08-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20141001001609IEmergency MedicineTNTBD
I20150513000567IEmergency MedicineFLTBD
I20220815002331IEmergency MedicineMNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes549444$0
87804Detection test by immunoassay with direct visual observation for influenza virus20497$0
99204New patient office or other outpatient visit, 45-59 minutes174174$0
80053Blood test, comprehensive group of blood chemicals139127$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)133128$0
View full utilization report →

Insurance plans in this area (ZIP 37403)

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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: 1658359062View full group profile
NameSpecialtyState
Family Practice, Sports MedicineFL
Pediatric Medicine, Family PracticeNY
Physician AssistantNJ
Emergency Medicine, Family PracticeFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerMI
Family PracticeFL
-FL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Can I cross-check JAMES LANDIS WAGNER (M.D.) using NPI 1104147297?
NPI 1104147297 belongs to JAMES LANDIS WAGNER (M.D.); compare other details if you need extra assurance.
Would JAMES LANDIS WAGNER (M.D.) appear as active to a payer?
You can treat JAMES LANDIS WAGNER (M.D.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe JAMES LANDIS WAGNER (M.D.)'s focus?
For JAMES LANDIS WAGNER (M.D.), the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JAMES LANDIS WAGNER (M.D.)?
Travel planning: use Chattanooga, Tennessee as the reference point for JAMES LANDIS WAGNER (M.D.), then confirm.
Can I trust this NPI listing for JAMES LANDIS WAGNER (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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