Individual provider Active NPI

Rachel Wiggins, CRNP

  • Family Nurse Practitioner
  • Georgiana, AL
National Provider Identifier
1376952978
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-123127 Issued in AL
Practice address
225 Patterson Ave
Georgiana, AL 36033-6628
Phone
(334) 376-2005
NPI assigned
Aug 7, 2014
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150720000658 AL Practitioner - Nurse Practitioner 7517270630 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-123127ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Enterprise Urgent Care CurrentSince Jun 2, 2018 Accepting new patients
Evergreen Medical Center, LLC CurrentSince May 28, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.