Andronica Wiggins (NPI# 1629470125, PAC ID# 9335466457) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1629470125 |
| PAC ID by PECOS | 9335466457 |
| Professional Enrollment ID | I20150327002241 |
| Full Name | Andronica Wiggins |
| Organization Legal Name | NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC |
| Address |
1200 Northside Forsyth Dr Cumming GA 30041-7659 |
| Phone Number | 7708443200 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8628253424 |
| Number of Group Practice Members | 161 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110005 | NORTHSIDE HOSPITAL FORSYTH |
| Address | Phone | Organization |
|---|---|---|
| 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 4048518000 | NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC |
| 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 7708443200 | NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC |
| Organization Legal Name | NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC |
| Physicians | 168 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica F Wysock | Nurse Practitioner | Northside Surgical Professional Services LLC | 1100 Northside Forsyth Dr, Suite 410, Cumming, GA 30041-6015 |
| Torrance Christopher Laury | Family Medicine | Northside Surgical Professional Services LLC | 2000 Howard Farm Dr, Suite 305, Cumming, GA 30041-6075 |
| Tayler Mauldin | Nurse Practitioner | Northside Surgical Professional Services LLC | 460 Northside Cherokee, Suite 410, Canton, GA 30115-8016 |
| Eddie K Abdalla | General Surgery | Northside Surgical Professional Services LLC | 980 Johnson Fy Rd Ne, Suite 170, Atlanta, GA 30342-1607 |
| Kelley Dawn Harrelson | Nurse Practitioner | Northside Surgical Professional Services LLC | 759 Old Norcross Rd, Lawrenceville, GA 30046-4317 |
| Soyini Mattis Hawkins | Obstetrics/gynecology | Northside Surgical Professional Services LLC | 11975 Morris Rd, Suite 140, Alpharetta, GA 30005-4444 |
| Grant C Wolfe | General Surgery | Northside Surgical Professional Services LLC | 900 Towne Lake Pkwy, Suite 412, Woodstock, GA 30189-1604 |
| Pauline Elizabeth Mallcott | Qualified Audiologist | Northside Surgical Professional Services LLC | 4150 Deputy Bill Cantrall Memorial Rd, Suite 260, Cumming, GA 30005 |
| Crystal R Dininger | Physician Assistant | Northside Surgical Professional Services LLC | 1366 Wellbrook Cir Ne, Suite B, Conyers, GA 30012-3872 |
| Rama K Rao | Obstetrics/gynecology | Northside Surgical Professional Services LLC | 2001 Peachtree Nerd, Suite 650, Atlanta, GA 30309-1432 |
| Street Address |
1200 NORTHSIDE FORSYTH DR |
| City | CUMMING |
| State | GA |
| Zip | 30041-7659 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arinze H Duru | Internal Medicine | North Atlanta Professional Services LLC | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 |
| Deedee T Diep | Family Medicine | North Atlanta Professional Services LLC | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 |
| Jeffrey Desalvo | Hospitalist | North Atlanta Professional Services LLC | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 |
| Samson Tadesse | Internal Medicine | North Atlanta Professional Services LLC | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 |
| Staci C Hofius | Certified Registered Nurse Anesthetist (crna) | Northside Anesthesiology Consultants, LLC | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 |
| Soujanya Chava | Internal Medicine | North Atlanta Professional Services LLC | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 |
| Thomas L Burress | Anesthesiology | Northside Anesthesiology Consultants, LLC | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 |
| Rachel E Blanchard | Internal Medicine | North Atlanta Professional Services LLC | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 |
| Rogers Ha | Internal Medicine | North Atlanta Professional Services LLC | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 |
| Anthony Kimani Mwangi | Pulmonary Disease | Northside Primary Care Professional Services,llc | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Max M Benson | Interventional Cardiology | Northside Cardiovascular Professional Services,llc | 1505 Northside Forsyth Dr, Suite 3600, Cumming, GA 30041 |
| William G Littlefield | Hand Surgery | Peachtree Orthopaedic Clinic Pa | 1505 Northside Boulevard, Suite 3100, Cummings, GA 30041 |
| Neil Tarabadkar | Orthopedic Surgery | Peachtree Orthopaedic Clinic Pa | 1505 Northside Boulevard, Suite 3100, Cummings, GA 30041 |
| Amit Tibrewala | Internal Medicine | Northside Cardiovascular Professional Services,llc | 1505 Northside Forsyth Dr, Suite 3600, Cumming, GA 30041 |
| Kurt B Tompkins | Chiropractic | Tompkins Family Chiropractic Inc. | 1485 Peachtree Pkwy, Suite D7, Cumming, GA 30041-0500 |
| Eric W Tompkins | Chiropractic | Tompkins Family Chiropractic Inc. | 1485 Peachtree Pkwy, Suite D7, Cumming, GA 30041-0500 |
| Eli M Goldsmith | Chiropractic | 5285 Lake Pointe Ctr Dr, Suite B, Cumming, GA 30041-0901 | |
| Dominik Alan Shannon | Physical Therapy | Benchmark Physical Therapy, Inc | 1370 Buford Hwy 108, Cumming, GA 30041-2723 |
| Dwarakinath Harish | Nephrology | 1445 Haw Creek Cir, Suite 504, Cumming, GA 30041-2723 | |
| Coleen Rodney Brown | Physical Therapy | Benchmark Physical Therapy, Inc | 1370 Buford Hwy 108, Cumming, GA 30041-2723 |
| Find all physicians in zip 30041 | |||
| City | CUMMING |
| Zip Code | 30041 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CUMMING + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Andronica Wiggins.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.