Active NPI
Jonathan Diggs
- Physician Assistant
- Winchester, TN
National Provider Identifier
1245653492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 821
- Practice address
- 55 Sunrise Park
Winchester, TN 37398-2345 - Phone
- (256) 453-1917
- NPI assigned
- Jan 23, 2014
- Last updated
- Apr 25, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 821 | TN | Primary |
Addresses
Primary practice location
55 Sunrise Park
Winchester, TN 37398-2345
Mailing address
933 Garrett LN
Winchester, TN 37398-3352
Phone (256) 453-1917
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 821 | TN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398384000000",
"number": "1245653492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 GARRETT LN",
"city": "WINCHESTER",
"state": "TN",
"postal_code": "373983352",
"telephone_number": "256-453-1917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 SUNRISE PARK",
"city": "WINCHESTER",
"state": "TN",
"postal_code": "373982345",
"telephone_number": "256-453-1917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIGGS",
"first_name": "JONATHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-23",
"last_updated": "2014-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winchester, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.