Jerry Mark Wigley MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

034078 Issued in GA

Legal business name

JERRY MARK WIGLEY MD

Doing business as

Walk-In MD

Practice address

179 Pine Grove Rd
Suite B
Cartersville, GA 30120-8422

Phone

(770) 387-4544

NPI assigned

Apr 12, 2012

Last updated

Apr 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Mark Wigley, M.D.NPI 1699794818

Title

M.D./Owner

Phone

(770) 387-4544

Specialties & licenses 1

Addresses

Other names 1

• Walk-In MD Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Udunma Nduka Ikoro, MD

  • Internal Medicine Physician
  • Cartersville, GA
  • NPI 1811518327
  Medicare reassignment NPD
• Jerry Mark Wigley, M.D.

  • Family Medicine Physician
  • Cartersville, GA
  • NPI 1699794818
  NPD Authorized official
• Habibah Emad Bikhit

  • Family Nurse Practitioner
  • Cartersville, GA
  • NPI 1285576678
  NPD (past)

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1558628701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 PINE GROVE RD",
            "address_2": "SUITE B",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301208422",
            "telephone_number": "770-387-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 PINE GROVE RD",
            "address_2": "SUITE B",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301208422",
            "telephone_number": "770-387-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY MARK WIGLEY MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "WIGLEY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "M.D./OWNER",
        "authorized_official_telephone_number": "770-387-4544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "034078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walk-In MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasonmingjian, MD, LLC (JMJ Psychiatric and Behavior Clinic)
• Nanditha Lakshmi Jayakumar, MD
• Jeffrey D. Esslinger, MD, PC
• Meghan Elizabeth Jenkins, BCBA
• Johnnetta Tina Jennings
• Jason Ming Jian, M.D.
• JL Burch,LLC (Medicap Pharmacy)
• John S. Thomas, M.D.
• Emmanuel Maduabuchim John, APRN/ PMHNP
• Johnson Audiology

• Family Medicine Physician in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.