Wiggins Foot and Ankle Associates P.C.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD000802 Issued in GA

Legal business name

WIGGINS FOOT AND ANKLE ASSOCIATES P.C.

Practice address

205 Arlington Dr
Vidalia, GA 30474-7209

Phone

(912) 537-2559

Fax

(912) 537-9668

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Mark Wiggins, D.P.M.NPI 1477535474

Title

President

Phone

(912) 537-2559

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Mark Wiggins, DPM

  • Foot & Ankle Surgery Podiatrist
  • Vidalia, GA
  • NPI 1477535474

  Foot & Ankle Surgery, GA

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1104030824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 ARLINGTON DR",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304747209",
            "telephone_number": "912-537-2559",
            "fax_number": "912-537-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ARLINGTON DR",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304747209",
            "telephone_number": "912-537-2559",
            "fax_number": "912-537-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIGGINS FOOT AND ANKLE ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-537-2559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD000802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00725018A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "DG1916",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Jordan Whitaker, PA
• White Medical Services, PC
• Laura H White, PMHNP, FNP-C
• Leigh-Anne White, LPC
• Wiggins Family Practice Inc.
• Gregory Mark Wiggins, DPM
• Michael G Wiggins, FNP
• Williams Rural Surgical & Medical Clinic
• Michael Anthony Williams, MD
• Patricia Cave Williams, APRN

• Foot & Ankle Surgery Podiatrist in Vidalia, GA
• Providers in Vidalia, GA by specialty
• Foot & Ankle Surgery Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.