Active NPI
Marcus M Wagner, M.D.
- Radiation Oncology Physician
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 48652
- Practice address
- 605 Glenwood Drive
Suite 200
Chattanooga, TN 37404-1130 - Phone
- (423) 698-1844
- Fax
- (423) 624-2226
- NPI assigned
- Jul 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | TRN11513 | FL | |
| Radiation Oncology Physician | 2085R0001X | 48652 | TN | Primary |
Addresses
Primary practice location
605 Glenwood Drive
Suite 200
Chattanooga, TN 37404-1130
Mailing address
PO Box 440100
Nashville, TN 37244-0100
Phone (423) 698-1844
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- University of Alabama School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2525 Desales Ave
Chattanooga, TN 37404-1161
Phone (423) 492-4734
4750 Battlefield Pkwy
Ringgold, GA 30736-5164
Phone (706) 841-8050
5600 Brainerd Rd
Suite 500
Chattanooga, TN 37411-5371
Phone (423) 414-3586
605 Glenwood Dr
Suite 200
Chattanooga, TN 37404-1130
Phone (423) 698-1844
Hospital & facility affiliations
- Memorial Healthcare System, Inc
- Parkridge Medical Center
- Commonspirit-Memorial Hospital-North Georgia
- Erlanger Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.71 of 100
- Promoting interoperability
- 89
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 92.6
- Promoting interoperability
- 93.23
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN11513 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Health Partners Foundation Inc | Current | Accepting new patients | |
| Tennessee Oncology,PLLC | Radiation Oncology | Current | Accepting new patients |
| Tennessee Oncology PLLC | Current | Accepting new patients | |
| Memorial Health Partners Foundation, Inc | Internal Medicine | Current | Accepting new patients |
| Tennessee Oncology PLLC | Past | Accepting new patients |
Locations
611 E Villanow St
La Fayette, GA 30728
Phone (706) 638-1606
4700 Battlefield Pkwy
Ste 230
Ringgold, GA 30736
Phone (423) 698-1844
4750 Battlefield Pkwy
Ringgold, GA 30736
Phone (706) 841-8050
2200 E 3rd St
Ste 100
Chattanooga, TN 37404
Phone (423) 648-2388
605 Glenwood Dr
Chattanooga, TN 37404
Phone (423) 629-6077
5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586
605 Glenwood Dr
Ste 200
Chattanooga, TN 37404
Phone (423) 698-1844
2004 Hayes St
Ste 800
Nashville, TN 37203
Phone (615) 514-3023
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1922053545
GA
-
- Hematology & Oncology Physician
- Nashville, TN
- NPI 1811955917
-
- Rural Health Clinic/Center
- La Fayette, GA
- NPI 1760632780
-
- Radiation Oncology Clinic/Center
- Franklin, TN
- NPI 1942909585
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1861194086
-
- General Acute Care Hospital
- Hixson, TN
- NPI 1083778633
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1255428736
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1104874684
-
- General Acute Care Hospital
- Ringgold, GA
- NPI 1356860621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351555200000",
"number": "1770780686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 440100",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372440100",
"telephone_number": "423-698-1844",
"fax_number": "423-624-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 GLENWOOD DRIVE",
"address_2": "SUITE 200",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374041130",
"telephone_number": "423-698-1844",
"fax_number": "423-624-2226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "MARCUS",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-03",
"last_updated": "2012-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "TRN11513",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TN",
"license": "48652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.