Individual provider Active NPI

Warner M Wiggins, M.D.

  • Pediatrics Physician
  • Fairhope, AL
National Provider Identifier
1558343400
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
8950 Issued in AL
Practice address
150 S Ingleside St
Suite 7
Fairhope, AL 36532-1803
Phone
(251) 928-0624
Fax
(251) 928-0655
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 8950 AL Primary

Addresses

Primary practice location

150 S Ingleside St
Suite 7
Fairhope, AL 36532-1803

Mailing address

150 S Ingleside St
Suite 7
Fairhope, AL 36532-1803
Phone (251) 928-0624

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8950ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Shore Children's Clinic Pediatrics PastSince Apr 7, 2021 Accepting new patients

Networks

  • bcbs alabama network 01A0
  • bcbs alabama network 01G0
  • bcbs alabama network 01E0
  • bcbs alabama network 01B0
  • bcbs alabama network 01C0

Interoperability endpoints

  • Direct secure messaging: easternshoredevelopment.warnerwigginsmd@126230.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1558343400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S INGLESIDE ST",
            "address_2": "SUITE 7",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321803",
            "telephone_number": "251-928-0624",
            "fax_number": "251-928-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S INGLESIDE ST",
            "address_2": "SUITE 7",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321803",
            "telephone_number": "251-928-0624",
            "fax_number": "251-928-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "WARNER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "8950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.