Individual provider Active NPI

Thomas B Wiggins, MD

  • Diagnostic Radiology Physician
  • Winston-Salem, NC
National Provider Identifier
1790741007
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
29054 Issued in NC
Practice address
3155 Maplewood Ave
Winston-Salem, NC 27103
Phone
(336) 794-4372
Fax
(336) 659-2379
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 29054 NC Primary
Neuroradiology Physician 2085N0700X 29054 NC

Addresses

Primary practice location

3155 Maplewood Ave
Winston-Salem, NC 27103

Mailing address

3010 Trenwest Dr
Winston Salem, NC 27103-3208
Phone (336) 970-5000

Other identifiers 1

IdentifierTypeStateIssuer
8987361MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 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
I20040816000435 NC Practitioner - Diagnostic Radiology 7214900596 Reassigns benefits to 1 organization
I20170804002190 SC Practitioner - Diagnostic Radiology 7214900596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Radiology Associates PLLCGroup PAC ID 8729086194, 75 clinicians

Practice addresses (Care Compare)

1 Cannon Dr
Greenville, SC 29605-4201
Phone (336) 970-5318

3015 Maplewood Ave
Suite 200
Winston Salem, NC 27103-4075
Phone (336) 794-4188

Hospital & facility affiliations

  • Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014
  • Novant Health Thomasville Medical Center Hospital, Thomasville, NC, CCN 340085
  • Northern Regional Hospital Hospital, Mount Airy, NC, CCN 340003
  • Ashe Memorial Hospital Hospital, Jefferson, NC, CCN 341325

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29054NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 26, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Jan 13, 2026 Accepting new patients
Piedmont Imaging LLC Diagnostic Radiology CurrentSince Jul 1, 2009 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 17, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 22, 2025 Accepting new patients
Triad Imaging LLC Diagnostic Radiology CurrentSince Apr 12, 2023 Accepting new patients
Triad Radiology Associates PLLC Diagnostic Radiology CurrentSince Jan 1, 2007 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 19, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 23, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 26, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 29, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 22, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 23, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 11, 2025 Accepting new patients
Asheville Open MRI LLC Diagnostic Radiology CurrentSince Mar 1, 2024 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 29, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 17, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Jan 13, 2026 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 17, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 29, 2025 Accepting new patients
Foundation Health Systems Corp. Past Accepting new patients
Triad Radiology Associates, PLLC Past Accepting new patients
Vanderbilt University Past Accepting new patients

Locations

218 Gatewood Ave
High Point, NC 27262
Phone (336) 802-2030

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

3155 Maplewood Ave
Winston Salem, NC 27103
Phone (336) 718-7980

3010 Trenwest Dr
Winston Salem, NC 27103
Phone (336) 718-5844

2025 Frontis Plaza Blvd
Ste 123
Winston Salem, NC 27103
Phone (336) 794-4190

3010 Trenwest Dr
Ste 200
Winston Salem, NC 27103

3015 Maplewood Ave
Ste 200
Winston Salem, NC 27103
Phone (336) 794-4188

1 Cannon Dr
Greenville, SC 29605
Phone (336) 970-5318

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 4

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1790741007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 TRENWEST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033208",
            "telephone_number": "336-970-5000",
            "fax_number": "336-970-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 MAPLEWOOD AVE",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-794-4372",
            "fax_number": "336-659-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "THOMAS",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "29054",
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NC",
            "license": "29054",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8987361",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston-Salem, NC

Sources for this page

Verify at the official NPI Registry.