Individual provider Active NPI

Jarrod Stirling Wiggins, M.D.

  • Family Medicine Physician
  • Kerrville, TX
National Provider Identifier
1861668691
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P2933 Issued in TX
Practice address
575 Hill Country Dr
2ND Floor
Kerrville, TX 78028
Phone
(830) 258-6237
Fax
(830) 315-1366
NPI assigned
May 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P2933 TX Primary

Addresses

Primary practice location

575 Hill Country Dr
2ND Floor
Kerrville, TX 78028

Mailing address

575 Hill Country Dr
Kerrville, TX 78028-6024
Phone (830) 258-7762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130131000184 TX Practitioner - Family Practice 2668626599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peterson Medical AssociatesGroup PAC ID 1355467887, 192 clinicians

Practice addresses (Care Compare)

575 Hill Country Dr
Suite 202
Kerrville, TX 78028-6024
Phone (830) 258-6237

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P2933TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peterson Medical Associates Family Medicine CurrentSince Dec 15, 2014 Accepting new patients
Peterson Urgent Care LLC Past Accepting new patients

Locations

1331 Bandera Hwy
Ste 4
Kerrville, TX 78028
Phone (830) 258-7762

575 Hill Country Dr
Fl 2
Kerrville, TX 78028
Phone (830) 258-6237

130 W Main St
Kerrville, TX 78028
Phone (830) 258-7669

1331 Bandera Hwy
Ste 3B
Kerrville, TX 78028
Phone (830) 258-7762

575 Hill Country Dr
Ste 101
Kerrville, TX 78028
Phone (830) 258-7090

575 Hill Country Dr
Ste 202
Kerrville, TX 78028
Phone (830) 258-6237

1740 Junction Hwy
Kerrville, TX 78028
Phone (830) 257-3800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21041/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jarrod.wiggins.1@21041.direct.athenahealth.com

Organizations & group practices 2

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.

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": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1861668691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 HILL COUNTRY DR",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286024",
            "telephone_number": "830-258-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 HILL COUNTRY DR",
            "address_2": "2ND FLOOR",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "78028",
            "telephone_number": "830-258-6237",
            "fax_number": "830-315-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "JARROD",
        "middle_name": "STIRLING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-01",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P2933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

Verify at the official NPI Registry.