Active NPI
Kimberly Wiggins
- Social Worker
- Gainesville, GA
National Provider Identifier
1316615065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MSW009387
- Practice address
- 629 Dawsonville Hwy Ste 2201
Gainesville, GA 30501-2632 - Phone
- (678) 701-8477
- Fax
- (229) 516-1395
- NPI assigned
- Aug 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | MSW009387 | GA | Primary |
Addresses
Primary practice location
629 Dawsonville Hwy Ste 2201
Gainesville, GA 30501-2632
Mailing address
629 Dawsonville Hwy Ste 2201
Gainesville, GA 30501-2632
Phone (678) 701-8477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW009387 | GA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1316615065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 DAWSONVILLE HWY STE 2201",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305012632",
"telephone_number": "678-701-8477",
"fax_number": "229-516-1395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 DAWSONVILLE HWY STE 2201",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305012632",
"telephone_number": "678-701-8477",
"fax_number": "229-516-1395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGGINS",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-30",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW009387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.