NPI age
4 years
Enumerated 2021-10-07
● Active
Type 1 · Individual
Callie Wilkes Hagan
Hagan is 1 of 15 pediatrics providers in Vidalia and 1 of 2726 in Georgia.
Primary specialty
Pediatrics
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-12-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2726 active pediatrics providers in Georgia.
NPI age
4 years
↓ 14 yr below median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-10Enumerated in NPPES
2021
2026
Where they practice
Practice location
303 Harris Industrial Blvd Ste 3
Vidalia, GA 304748854
Mailing address
1706 Knollwood St
Vidalia, GA 304745454
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 10722 | GA MEDICAL BOARD |
Practice context
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 2726 Pediatrics providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.