Individual provider Active NPI

Andrew Wiggins, M.D.

  • Emergency Medicine Physician
  • Nashville, TN
National Provider Identifier
1629212725
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
48562 Issued in TN
Practice address
222 Garrett Dr
Nashville, TN 37211-4410
Phone
(615) 924-0195
NPI assigned
Apr 21, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 48562 TN Primary
Emergency Medicine Physician 207P00000X 67630 GA

Addresses

Primary practice location

222 Garrett Dr
Nashville, TN 37211-4410

Mailing address

222 Garrett Dr
Nashville, TN 37211-4410
Phone (615) 924-0195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120618000226 TN Practitioner - Emergency Medicine 5395909659 Reassigns benefits to 1 organization
I20201106000486 KY Practitioner - Emergency Medicine 5395909659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians
West Fairview Emergency Physicians LLCGroup PAC ID 5799034799, 40 clinicians

Practice addresses (Care Compare)

2501 Kentucky Ave
Paducah, KY 42003-3813
Phone (270) 575-2100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
67630GAMDEmergency Medicine Physician
48562TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TN, PC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Nov 1, 2020 Accepting new patients
Emergency Coverage, LLC Emergency Medicine Past Accepting new patients
Ehra Medical Services of Tennessee PC Emergency Medicine Past Accepting new patients
Hospital Based Medical Services of Tennessee-I PC Emergency Medicine PastSince Nov 28, 2018 Accepting new patients
TN-I Medical Services PC Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000

1818 Albion St
Nashville, TN 37208
Phone (615) 341-4000

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

391 Wallace Rd
Nashville, TN 37211
Phone (615) 332-6253

105 Redbud Dr
Portland, TN 37148
Phone (615) 325-1215

3001 Reserve Blvd
Spring Hill, TN 37174
Phone (931) 489-1100

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1629212725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 GARRETT DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114410",
            "telephone_number": "615-924-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 GARRETT DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114410",
            "telephone_number": "615-924-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-21",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "48562",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "67630",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.