Individual provider Active NPI

Carol Ann Wiggins, MD

  • Allergy Physician
  • Atlanta, GA
National Provider Identifier
1952339756
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
027134 Issued in GA
Practice address
1800 Peachtree St. NW
Suite 720
Atlanta, GA 30309-2511
Phone
(404) 351-7520
Fax
(404) 355-2048
NPI assigned
Jun 29, 2006
Last updated
Apr 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 027134 GA Primary

Addresses

Primary practice location

1800 Peachtree St. NW
Suite 720
Atlanta, GA 30309-2511

Mailing address

1800 Peachtree St. NW
Suite 720
Atlanta, GA 30309-2511
Phone (404) 351-7520

Other identifiers 7

IdentifierTypeStateIssuer
030001445OtherGARAILROAD MEDICARE
1591744008OtherCIGNA
1472OtherCOVENTRY
000391454CMedicaidGA
238523OtherBCBS
8792OtherKAISER
0481392OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20100816000722 GA Practitioner - Allergy/Immunology 8729112529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Emory University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Allergy and Asthma Clinic PCGroup PAC ID 2264458132, 5 clinicians

Practice addresses (Care Compare)

1800 Peachtree St NW
Suite 720
Atlanta, GA 30309-2511
Phone (404) 351-7520

820 Ebenezer Church Rd
Suite 101
Sharpsburg, GA 30277-2073
Phone (770) 254-8502

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
027134GAMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Allergy and Asthma Clinic PC Allergy CurrentSince Jul 1, 1966 Accepting new patients

Locations

1800 Peachtree St NW
Ste 720
Atlanta, GA 30309
Phone (404) 351-7520

2675 Paces Ferry Rd SE
Ste 160
Atlanta, GA 30339
Phone (678) 305-9871

820 Ebenezer Church Rd
Ste 101
Sharpsburg, GA 30277
Phone (404) 351-7520

Organizations & group practices 1

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 1

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333670400000",
    "number": "1952339756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PEACHTREE ST. NW",
            "address_2": "SUITE 720",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092511",
            "telephone_number": "404-351-7520",
            "fax_number": "404-355-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PEACHTREE ST. NW",
            "address_2": "SUITE 720",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092511",
            "telephone_number": "404-351-7520",
            "fax_number": "404-355-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2012-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "GA",
            "license": "027134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "030001445",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1591744008",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "1472",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000391454C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "238523",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "8792",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0481392",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.