Pamela Gwen Wiggins, LCAS LICENSED CLINIC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

145 Issued in NC

Practice address

727 South Fayetteville St
Asheboro, NC 27203

Phone

(336) 672-7500

Fax

(336) 629-7501

NPI assigned

Mar 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841322518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 NORTHSHORE DR",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272034051",
            "telephone_number": "336-672-1955",
            "fax_number": "336-629-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 SOUTH FAYETTEVILLE ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "27203",
            "telephone_number": "336-672-7500",
            "fax_number": "336-629-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "PAMELA",
        "middle_name": "GWEN",
        "name_prefix": "Ms.",
        "credential": "LCAS LICENSED CLINIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14384",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6111891",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• White Oak Family Physicians, P.a.
• White Oak Family Physicians, PA
• Dana Elizabeth White, LCAS-A
• Hans Jurgen White, PA
• Thomas M. Whyte, M.D.
• Jessica Nicole Wilburn, NP-C
• William C Rabe DMD PA
• William Milner DDS PA
• Amy Williams, D.D.S.
• Brandon Williams, D.D.S.

• Counselor in Asheboro, NC
• Providers in Asheboro, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.