Organization Active NPI

Carl E Wingo MD PC

  • Specialist
  • Nashville, TN
National Provider Identifier
1700942158
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD18157 Issued in TN
Legal business name
CARL E WINGO MD PC
Practice address
345 23Rd Ave N
Suite 209
Nashville, TN 37203-1513
Phone
(615) 329-9082
Fax
(615) 329-2423
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Wanda Carolyn Kelly
Title
Office Manager
Phone
(615) 329-9082

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X MD18157 TN Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X MD15285 TN

Addresses

Primary practice location

345 23Rd Ave N
Suite 209
Nashville, TN 37203-1513

Mailing address

345 23Rd Ave N
Suite 209
Nashville, TN 37203-1513
Phone (615) 329-9082

Other identifiers 2

IdentifierTypeStateIssuer
1003819046OtherTNDR BARBARA NYLANDER NPI
1700889664OtherTNDR CARL WINGO NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700942158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 23RD AVE N",
            "address_2": "SUITE 209",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031513",
            "telephone_number": "615-329-9082",
            "fax_number": "615-329-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 23RD AVE N",
            "address_2": "SUITE 209",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031513",
            "telephone_number": "615-329-9082",
            "fax_number": "615-329-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL E WINGO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "CAROLYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-329-9082",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD18157",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD15285",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR BARBARA NYLANDER NPI",
            "identifier": "1003819046",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR CARL WINGO NPI",
            "identifier": "1700889664",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.