NPI age
20 years
Enumerated 2006-02-22
● Active
Type 1 · Individual
DR. Charles A Bagwell, MD
Bagwell is 1 of 5 surgery providers in Douglas and 1 of 1389 in Georgia.
Primary specialty
Surgery
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-03-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1389 active surgery providers in Georgia.
NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
28% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-02Enumerated in NPPES
2006
2026
Where they practice
Practice location
100 Doctors Dr Ste C
Douglas, GA 315332211
Mailing address
1100 Ward Street Ext W
Douglas, GA 315331902
Additional practice locations
1 secondary location on file with NPPES.
Location 2
204 E 15th St
Alma, GA 315102908
Specialties
-
Surgery PrimaryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 11D1105865 | CLIA ID - 17 JOHNSON ST |
| 01 (GA) | 341153 | WELLCARE OF GEORGIA |
| 05 (GA) | 000919729B | |
| 05 (GA) | 000919729C | |
| 01 (GA) | 050494 | GA LICENSE |
| 01 (GA) | 050494 | MEDICAL LICENSE |
| 01 (GA) | 11D0265294 | CLIA ID - 1309 OCILLA RD STE A |
| 01 (GA) | PTAN P00473716 | RAILROAD MEDICARE - PALMETTO GBA |
| 01 (GA) | 129049 | PEACHSTATE |
| 01 (GA) | GROUP #DH1281 | RAILROAD MEDICARE - PALMETTO GBA |
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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