Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamin W Wiley, MD

Individual provider Pediatrics Physician · NPI 1780649780

Benjamin W Wiley, MD is a Pediatrics Physician in Hixson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1039 Executive Dr Ste 101
Hixson, TN 37343-7900
Phone: (423) 874-0125
Fax: (423) 874-0154
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 35989 (TN)

Record details

NPI number1780649780
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2006
Last updated in NPPESApril 6, 2023
Certification dateApril 6, 2023
Mailing address4976 Alpha Ln, Hixson, TN 37343-5470

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