Active NPI
Gwendolyn Riggins, NP-C
- Family Nurse Practitioner
- Macon, GA
National Provider Identifier
1922150259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN049330 NP
- Practice address
- 770 Walnut St
Macon, GA 31201-7307 - Phone
- (478) 787-4266
- Fax
- (478) 787-4199
- NPI assigned
- Jan 17, 2007
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN049330 NP | GA | Primary |
Addresses
Primary practice location
770 Walnut St
Macon, GA 31201-7307
Mailing address
PO Box 4363
Macon, GA 31208-4363
Phone (478) 787-4266
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000968437I | Medicaid | GA | |
| RN049330 NP | Other | GA | GEORGIA LICENSE NO. |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN049330 NP | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Services of Central Georgia, Inc | Past | Accepting new patients | |
| Central Georiga Fertility Institute | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Reproductive Endocrinology Physician
- Macon, GA
- NPI 1447390901
-
- Multi-Specialty Clinic/Center
- Macon, GA
- NPI 1184679482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432771200000",
"number": "1922150259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4363",
"city": "MACON",
"state": "GA",
"postal_code": "312084363",
"telephone_number": "478-787-4266",
"fax_number": "478-787-4199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 WALNUT ST",
"city": "MACON",
"state": "GA",
"postal_code": "312017307",
"telephone_number": "478-787-4266",
"fax_number": "478-787-4199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIGGINS",
"first_name": "GWENDOLYN",
"name_prefix": "Ms.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2015-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN049330 NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000968437I",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA LICENSE NO.",
"identifier": "RN049330 NP",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.