Organization Active NPI

Palmetto Health Group

  • Family Medicine Physician
  • Pike Road, AL
National Provider Identifier
1649196155
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PALMETTO HEALTH GROUP
Practice address
9521 Vaughn Rd Ste Medical
Pike Road, AL 36064-2292
Phone
(814) 490-7244
NPI assigned
Jun 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christopher Waguespack, DO
Title
Physician
Phone
(814) 490-7244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9521 Vaughn Rd Ste Medical
Pike Road, AL 36064-2292

Mailing address

328 Dani LN
Mathews, AL 36052-4073
Phone (814) 490-7244

Other practice location 1

321 Greenville Byp Ste Medical
Greenville, AL 36037-3758
Phone (814) 490-7244

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1649196155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 DANI LN",
            "city": "MATHEWS",
            "state": "AL",
            "postal_code": "360524073",
            "telephone_number": "814-490-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9521 VAUGHN RD STE MEDICAL",
            "city": "PIKE ROAD",
            "state": "AL",
            "postal_code": "360642292",
            "telephone_number": "814-490-7244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 Greenville Byp Ste Medical",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "AL",
            "postal_code": "360373758",
            "country_code": "US",
            "telephone_number": "814-490-7244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PALMETTO HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-28",
        "status": "A",
        "authorized_official_last_name": "WAGUESPACK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "814-490-7244",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pike Road, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.