Individual provider Active NPI

David Alan Wiles, MD

  • Neurological Surgery Physician
  • Chattanooga, TN
National Provider Identifier
1851338628
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD0000028672 Issued in TN
Practice address
2205 McCallie Ave Ste 310
Chattanooga, TN 37404-3334
Phone
(423) 459-9800
Fax
(423) 459-9849
NPI assigned
Jun 1, 2006
Last updated
May 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD0000028672 TN Primary

Addresses

Primary practice location

2205 McCallie Ave Ste 310
Chattanooga, TN 37404-3334

Mailing address

2205 McCallie Ave Ste 310
Chattanooga, TN 37404-3334
Phone (423) 459-9800

Other identifiers 1

IdentifierTypeStateIssuer
3808338MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080814000408 TN Practitioner - Neurosurgery 6406826130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Tulane University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chattanooga Diagnostic Associates LLCGroup PAC ID 9739272519, 27 clinicians

Practice addresses (Care Compare)

2205 McCallie Ave
Suite 310
Chattanooga, TN 37404-3334
Phone (423) 698-2435

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion167
Laminectomy or laminotomy (partial removal of spine bones)86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000028672TNMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Diagnostic Associates LLC CurrentSince Nov 15, 2022 Accepting new patients
Southeastern Surgical, LLC PastSince Feb 23, 2022 Accepting new patients
Parkridge Medical Center, Inc. Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2205 McCallie Ave
Ste 310
Chattanooga, TN 37404
Phone (423) 493-1700

1000 Highway 28
Jasper, TN 37347
Phone (423) 837-9500

Interoperability endpoints

  • Direct secure messaging: david.wiles@hca1.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1851338628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 MCCALLIE AVE STE 310",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043334",
            "telephone_number": "423-459-9800",
            "fax_number": "423-459-9849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 MCCALLIE AVE STE 310",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043334",
            "telephone_number": "423-459-9800",
            "fax_number": "423-459-9849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILES",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TN",
            "license": "MD0000028672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3808338",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.