Organization Active NPI

Carter T Wiggins & Associates PA

  • Clinical Social Worker
  • North Miami, FL
National Provider Identifier
1689644437
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW4348 Issued in FL
Legal business name
CARTER T WIGGINS & ASSOCIATES PA
Practice address
12955 Biscayne Blvd Ste 204
North Miami, FL 33181-2021
Phone
(305) 895-3307
Fax
(305) 895-1737
NPI assigned
Jan 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Authorized official

Name
Mr. Carter T Wiggins, LCSWNPI 1952371700
Title
Owner
Phone
(305) 825-5698

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW4348 FL Primary

Addresses

Primary practice location

12955 Biscayne Blvd Ste 204
North Miami, FL 33181-2021

Mailing address

12955 Biscayne Blvd Ste 204
North Miami, FL 33181-2021
Phone (305) 895-3307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050519000875 FL Part B Supplier - Clinic/Group Practice 5597706580 Receives reassigned benefits from 1 practitioner
Practice locations: North Miami, FL

National Provider Directory

National Provider Directory

Locations

1175 NE 125th St
Ste 205
North Miami, FL 33161
Phone (305) 825-5698

12955 Biscayne Blvd
Ste 204
North Miami, FL 33181
Phone (305) 825-5698

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1689644437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12955 BISCAYNE BLVD STE 204",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812021",
            "telephone_number": "305-895-3307",
            "fax_number": "305-895-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12955 BISCAYNE BLVD STE 204",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812021",
            "telephone_number": "305-895-3307",
            "fax_number": "305-895-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTER T WIGGINS & ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "CARTER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-825-5698",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.