Wig Medical LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

WIG MEDICAL LLC

Practice address

1276 Dahlgren LN SE
Atlanta, GA 30316-1627

Phone

(404) 851-0090

NPI assigned

Jan 25, 2024

Last updated

Jan 25, 2024By 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

India Mason

Title

Ceo/ Founder

Phone

(404) 851-0090

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1649032640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 DAHLGREN LN SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 DAHLGREN LN SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161627",
            "telephone_number": "404-851-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIG MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "INDIA",
        "authorized_official_title_or_position": "CEO/ FOUNDER",
        "authorized_official_telephone_number": "404-851-0090"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Harper Wiederholt, RPH
• Stewart E Wiegand, MD
• Kristen McLendon Wieler, RN, WHNP, CNP
• Nicole Lynne Wiesen, MSW
• Jacqueline Wieting, NP-BC
• Hannah Wiggers, LPC
• Nancy Harmer Wiggers, MD
• Amanda Dean Wiggins, PA-AA
• Carol Ann Wiggins, MD
• Keiyana Wiggins

• Prosthetic/Orthotic Supplier in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Prosthetic/Orthotic Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.