Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366417479 Individual Practitioner Male Practitioner

Dr. Charles A Bagwell , MD

Surgery • Douglas, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Charles Bagwell, MD is a certified Surgery practicing in Douglas, GA. With approximately 25 years of clinical experience since graduating from Medical College Of Georgia School Of Medicine in 2001, Dr. Bagwell delivers high-quality medical care to the local community at 100 DOCTORS DR STE C.

Dr. Bagwell maintains professional affiliations with Coffee Emergency Group Llc, Coffee Regional Medical Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Doctors Dr Ste C

Douglas, GA 315332211

Telephone 9123845832
Fax 9123838279
Associated Practice Facility / Clinic
🏢 Crh Physician Practices Llc Facility NPI 1801146188

Medicare Profile & Education

Medical School

Medical College Of Georgia School Of Medicine

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Douglas, GA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
25 Yrs +3.5 yrs vs City Avg
City Avg: 21.5 Yrs
State Avg: 26.6 Yrs
Regional Practice Density
6 Specialists

Practicing in Douglas, GA (1046 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
92.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bagwell (25 Years) 25 Yrs
Douglas Specialty Average (21.5 Years) 21.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
165 152 $2194.00 $168.50
99284 Emergency department visit with moderate level of medical decision making
62 53 $1487.00 $116.45

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License GA 050494

A 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 soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
000919729B (GA)
Medicaid State Provider ID
000919729C (GA)
Commercial Insurance / Payer ID Ga License
050494 (GA)
Commercial Insurance / Payer ID Medical License
050494 (GA)
Commercial Insurance / Payer ID Clia Id - 1309 Ocilla Rd Ste A
11D0265294 (GA)
Commercial Insurance / Payer ID Railroad Medicare - Palmetto Gba
PTAN P00473716 (GA)
Commercial Insurance / Payer ID Peachstate
129049 (GA)
Commercial Insurance / Payer ID Clia Id - 17 Johnson St
11D1105865 (GA)
Commercial Insurance / Payer ID Railroad Medicare - Palmetto Gba
GROUP #DH1281 (GA)
Commercial Insurance / Payer ID Wellcare Of Georgia
341153 (GA)

Hospital & Practice Group Affiliations

Coffee Emergency Group Llc

1101 Ocilla Rd, Douglas, GA 315332262

Phone: 9123835641

Coffee Regional Medical Center Inc

1101 Ocilla Rd, Douglas, GA 315332207

Phone: 9123841900

Secondary Practice Locations

204 E 15th St

Alma, GA 315102908

Phone: 9123845832

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1194974816

Doctor of Medicine (M.D.)

NPI 1336132646

Doctor of Medicine (M.D.)

NPI 1346202363

Doctor of Medicine (M.D.)

Dr. Timothy Humphries , MD

Surgery - Trauma Surgery

NPI 1689625162

Doctor of Medicine (M.D.)

NPI 1851360754

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active September 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 06, 2017

Registered at 100 DOCTORS DR STE C, DOUGLAS, GA 315332211 (Tel: 9123845832)

📍
Updated Business Mailing Address September 06, 2017

Registered at 1100 WARD STREET EXT W, DOUGLAS, GA 315331902 (Tel: (912) 384-1477)

👤
Provider Name / Credentials Updated September 06, 2017

Recorded as CHARLES BAGWELL, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2017

Surgery (License #050494 in GA)

NPI Profile Active July 02, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 02, 2012

Registered at 1309 OCILLA ROAD, SUITE A, DOUGLAS, GA 31533 (Tel: 9123845832)

📍
Updated Business Mailing Address July 02, 2012

Registered at 1100 WARD STREET EXT W, DOUGLAS, GA 315331902 (Tel: 9123841477)

👤
Provider Name / Credentials Updated July 02, 2012

Recorded as CHARLES BAGWELL, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2012

Surgery (License #050494 in GA)

🟢
Initial NPI Registration & Enumeration February 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Charles Bagwell. Be the first to share your experience!

Sign in to leave a review for Dr. Charles Bagwell

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1366417479
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2006
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

1100 Ward Street Ext W

Douglas, GA 315331902

Phone: 9123841477

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.