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

Jeffrey Mark Wiggins, PA

Individual provider Physician Assistant · NPI 1679503445

Jeffrey Mark Wiggins, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2004, 22 years ago. Practices with Carolinas Medical Center, a 1,062-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
22
Licensed in
NC
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1100 Blythe Blvd
Charlotte, NC 28203-5814
Phone: (704) 355-9330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 275 Beatty Dr, Belmont, NC 28012-2715 — (704) 355-9330
  • 10648 Park Rd, Charlotte, NC 28210-8407 — (704) 355-9330
  • 487 Lake Concord Rd Ne, Concord, NC 28025-2934 — (704) 403-0300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 104041 (NC)

Record details

NPI number1679503445
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 4, 2006
Last updated in NPPESJuly 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Carolinas Medical Center — 1062 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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