Individual provider Active NPI

Tammy Wiggins, NP

  • Family Nurse Practitioner
  • Waycross, GA
National Provider Identifier
1619660222
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN212034 Issued in GA
Practice address
1720 Old Reynolds St
Waycross, GA 31501-1036
Phone
(912) 283-1359
NPI assigned
May 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN212034 GA Primary

Addresses

Primary practice location

1720 Old Reynolds St
Waycross, GA 31501-1036

Mailing address

1720 Old Reynolds St
Waycross, GA 31501-1036
Phone (912) 283-1359

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230803002964 GA Practitioner - Nurse Practitioner 7416318670 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.2 of 100Reported as group
Quality
100
Promoting interoperability
98
Improvement activities
40
Cost
83.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN212034GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Village Podiatry Group II, LLC. CurrentSince Jan 1, 2026 Accepting new patients
Village Podiatry Group II, LLC. CurrentSince Jan 1, 2026 Accepting new patients
Peter Wrobel MD PC CurrentSince Jun 20, 2023 Accepting new patients

Locations

2045 Peachtree Rd NE
Ste 810
Atlanta, GA 30309
Phone (404) 351-0770

1507 Alice St
Waycross, GA 31501
Phone (912) 283-7220

1720 Old Reynolds St
Waycross, GA 31501
Phone (912) 809-6401

1710 Old Reynolds St
Waycross, GA 31501
Phone 9122832200185

Interoperability endpoints

  • Direct secure messaging: tammy.wiggins.1@27501.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1619660222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 OLD REYNOLDS ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315011036",
            "telephone_number": "912-283-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 OLD REYNOLDS ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315011036",
            "telephone_number": "912-283-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "TAMMY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN212034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

Verify at the official NPI Registry.