Active NPI
Qwenita Wiggins
- Private Vehicle
- Atlanta, GA
National Provider Identifier
1205600020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- License
- 055217650
- Practice address
- 2051 Flat Shoals Rd SE Apt C5
Atlanta, GA 30316-3033 - Phone
- (404) 416-0057
- NPI assigned
- Nov 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | 055217650 | GA | Primary |
Addresses
Primary practice location
2051 Flat Shoals Rd SE Apt C5
Atlanta, GA 30316-3033
Mailing address
2051 Flat Shoals Rd SE Apt C5
Atlanta, GA 30316-3033
Phone (404) 416-0057
Other practice location 1
3069 Amwiler Rd Ste 1
Atlanta, GA 30360-2825
Phone (770) 686-7996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055217650 | GA | MD | Private Vehicle |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1205600020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2051 FLAT SHOALS RD SE APT C5",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303163033",
"telephone_number": "404-416-0057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051 FLAT SHOALS RD SE APT C5",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303163033",
"telephone_number": "404-416-0057"
}
],
"practiceLocations": [
{
"address_1": "3069 Amwiler Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303602825",
"country_code": "US",
"telephone_number": "770-686-7996",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIGGINS",
"first_name": "QWENITA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-13",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "GA",
"license": "055217650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.