Active NPI
David Alan Wiles, MD
- Neurological Surgery Physician
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- MD0000028672
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3808338 | Medicaid | TN |
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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 167 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000028672 | TN | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chattanooga Diagnostic Associates LLC | Current | Accepting new patients | |
| Southeastern Surgical, LLC | Past | 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
- 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.
-
dba Diagnostic Center
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1679772099
-
dba Parkridge Medical Center
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1104874684
-
dba Riverfront Surgery Center
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1326796426
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Hospital Hixson
- General Acute Care Hospital
- Hixson, TN
- NPI 1083778633
-
dba Memorial Hospital
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1255428736
-
dba Parkridge Medical Center
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1104874684
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.