Active NPI
Gregory Mark Wiggins, DPM
- Foot & Ankle Surgery Podiatrist
- Vidalia, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- POD000802
- Practice address
- 205 Arlington Dr
Vidalia, GA 30474-7209 - Phone
- (912) 537-2559
- Fax
- (912) 537-9668
- NPI assigned
- Nov 16, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD000802 | GA | Primary |
Addresses
Primary practice location
205 Arlington Dr
Vidalia, GA 30474-7209
Mailing address
205 Arlington Dr
Vidalia, GA 30474-7209
Phone (912) 537-2559
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1254360001 | Other | DMERC | |
| 1477535474 | Other | BLUE CROSS | |
| 00725018A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040301000471 | GA | Practitioner - Podiatry | 0648166355 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
205 Arlington Dr
Vidalia, GA 30474-7209
Phone (912) 537-2559
Hospital & facility affiliations
- Evans Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1945 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| POD000802 | GA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wiggins Foot and Ankle Associates P.C. | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
205 Arlington Dr
Ste A
Vidalia, GA 30474
205 Arlington Dr
Vidalia, GA 30474
Phone (912) 537-2530
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Vidalia, GA
- NPI 1104030824
Foot & Ankle Surgery, GA
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194912000000",
"number": "1477535474",
"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": {
"last_name": "WIGGINS",
"first_name": "GREGORY",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2007-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "GA",
"license": "POD000802",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "1254360001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "1477535474",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00725018A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vidalia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.