Demarcus G Wiggins, BS, QBHP

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3895 George Anderson Rd
Springdale, AR 72764-8251

Phone

(479) 521-1532

NPI assigned

Dec 17, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1326686619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3895 GEORGE ANDERSON RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727648251",
            "telephone_number": "479-521-1532",
            "fax_number": "479-521-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3895 GEORGE ANDERSON RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727648251",
            "telephone_number": "479-521-1532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2153 E Joyce Blvd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727034714",
            "country_code": "US",
            "telephone_number": "479-575-9471",
            "fax_number": "479-587-9392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "DEMARCUS",
        "middle_name": "G",
        "credential": "BS, QBHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-17",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "237641795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlie Wick, OTR/L
• Lisa Wicker
• Erica Dawn Wiebe, M.D.
• Ashlyn Wiggins, SLP
• Courtney Dawn Wiggins, MHPP
• Rita Wiggins, MS CCC/SLP
• Abigail K Wike
• Jaquelyn Risa Wilansky, M.D.
• Perry Lee Wilbur, MD
• Michael Dean Wilcox, LCSW

• Case Manager/Care Coordinator in Springdale, AR
• Providers in Springdale, AR by specialty
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.