Individual provider Active NPI

Coral Dawn Wiggins

  • Family Nurse Practitioner
  • Sylva, NC
National Provider Identifier
1013631175
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1013631175 Issued in NC
Practice address
538 Scotts Creek Rd
Sylva, NC 28779-5677
Phone
(828) 586-8994
Fax
(828) 587-8295
NPI assigned
Oct 3, 2022
Last updated
Jun 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1013631175 NC Primary

Addresses

Primary practice location

538 Scotts Creek Rd
Sylva, NC 28779-5677

Mailing address

538 Scotts Creek Rd
Sylva, NC 28779-5677
Phone (838) 586-8994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230109000342 NC Practitioner - Nurse Practitioner 9436529484 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1013631175NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Medical Associates, PLLC Family CurrentSince Dec 1, 2022 Accepting new patients
Smoky Mountain Sports Medicine & Physical Therapy, Inc. PastSince Oct 1, 2022 Accepting new patients

Locations

1188 Skyland Dr
Sylva, NC 28779
Phone (828) 339-2273

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1013631175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 SCOTTS CREEK RD",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795677",
            "telephone_number": "838-586-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 SCOTTS CREEK RD",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795677",
            "telephone_number": "828-586-8994",
            "fax_number": "828-587-8295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "CORAL",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "1013631175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

Verify at the official NPI Registry.