NPIMap

Individual provider Active NPI

Winfield H Winegar, PA

  • Physician Assistant
  • Springfield, TN
National Provider Identifier
1336196302
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0858 Issued in TN
Practice address
100 Northcrest Dr
Springfield, TN 37172-3927
Phone
(615) 384-1536
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0858 TN
Internal Medicine Physician 207R00000X 0858 TN
Pediatrics Physician 208000000X 0858 TN
Emergency Medicine Physician 207P00000X 0858 TN
Physical Medicine & Rehabilitation Physician 208100000X 0858 TN
Diagnostic Radiology Physician 2085R0202X 0858 TN
Surgery Physician 208600000X 0858 TN
Physician Assistant 363A00000X 0858 TN Primary

Addresses

Primary practice location

100 Northcrest Dr
Springfield, TN 37172-3927

Mailing address

1762B Memorial Dr
Suite 101
Clarksville, TN 37043-4521
Phone (931) 614-6379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040317001219 TN Practitioner - Physician Assistant 7719877315 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0858TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shamrock Community Hospital Inc. Past Accepting new patients
Shamrock Community Hospital Inc Emergency Medicine Past Accepting new patients
Emergency Services Network, PLLC. Emergency Medicine Past Accepting new patients
Caleb Creek Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients
Shamrock Community Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: wwineg01@yourcarecommunity.org

Organizations & group practices 8

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1336196302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1762B MEMORIAL DR",
            "address_2": "SUITE 101",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434521",
            "telephone_number": "931-614-6379",
            "fax_number": "931-908-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NORTHCREST DR",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371723927",
            "telephone_number": "615-384-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINEGAR",
        "first_name": "WINFIELD",
        "middle_name": "H",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "0858",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "0858",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "0858",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "0858",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "0858",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "0858",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "0858",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "0858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, TN

Sources for this page

Verify at the official NPI Registry.