Active NPI
Rachel Wiggins, CRNP
- Family Nurse Practitioner
- Georgiana, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-123127
- Practice address
- 225 Patterson Ave
Georgiana, AL 36033-6628 - Phone
- (334) 376-2005
- NPI assigned
- Aug 7, 2014
- Last updated
- Jul 25, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-123127 | AL | Primary |
Addresses
Primary practice location
225 Patterson Ave
Georgiana, AL 36033-6628
Mailing address
102 Edwina St
Evergreen, AL 36401-3319
Phone (251) 578-0220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-123127 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enterprise Urgent Care | Current | Accepting new patients | |
| Evergreen Medical Center, LLC | Current | Accepting new patients | |
| Evergreen Medical Center LLC | Past | Accepting new patients | |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients |
Locations
6582 Boll Weevil Cir
Enterprise, AL 36330
Phone (334) 347-2027
101 Crestview Ave
Evergreen, AL 36401
Phone (251) 578-0184
102 Edwina St
Evergreen, AL 36401
Phone (251) 578-0220
225 Patterson Ave
Georgiana, AL 36033
Phone (334) 376-2005
Interoperability endpoints
- rachel.wiggins.1@19957.direct.athenahealth.com
Organizations & group practices 4
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.
-
dba Ivy Creek Family Care of Enterprise
- Urgent Care Clinic/Center
- Enterprise, AL
- NPI 1285180729
-
- Rural Health Clinic/Center
- Georgiana, AL
- NPI 1619559812
-
dba Evergreen Primary Care
- Rural Health Clinic/Center
- Evergreen, AL
- NPI 1427366871
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1376952978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 EDWINA ST",
"city": "EVERGREEN",
"state": "AL",
"postal_code": "364013319",
"telephone_number": "251-578-0220",
"fax_number": "251-578-0223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 PATTERSON AVE",
"city": "GEORGIANA",
"state": "AL",
"postal_code": "360336628",
"telephone_number": "334-376-2005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGGINS",
"first_name": "RACHEL",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-07",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-123127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgiana, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.