DR. GREGORY MARK WIGGINS


Address: 205 Arlington Dr, Vidalia, GA 30474-7209
Phone: 9125372559

DR. GREGORY MARK WIGGINS (NPI# 1477535474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477535474
Entity Type Individual
Full Name DR. GREGORY MARK WIGGINS
Credential DPM
Practice Address 205 Arlington Dr
Vidalia
GA 30474-7209
Practice Telephone 9125372559
Practice Fax Number 9125379668
Mailing Telephone 9125372559
Mailing Fax Number 9125379668
Enumeration Date 2005-11-16
Last Update Date 2007-11-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
POD000802 GA Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
DMERC 1254360001 01
BLUE CROSS 1477535474 01
GA 00725018A 05

Other Providers GREGORY WIGGINS

NPI Name Taxonomy Address Enumeration
1376500322 Gregory B. Wiggins Dentist 2170 Ashley Phosphate Rd, Suite 600, North Charleston, SC 29406-4190 2006-04-26
1851719025 Gregory Shaun Wiggins Nurse Anesthetist, Certified Registered 1020 S State Highway 16, Fredericksburg, TX 78624-4471 2014-04-03
1710961347 Gregory Charles Wiggins Neurological Surgery 601 John St, Suite M124, Kalamazoo, MI 49007-5341 2005-12-06

Office Location

Street Address 205 ARLINGTON DR
City VIDALIA
State GA
Zip Code 30474-7209

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316126139 Wiggins Family Practice Inc. Clinic/Center 205 Arlington Dr, Vidalia, GA 30474-7209 2007-10-29
1104030824 Wiggins Foot and Ankle Associates P.C. Podiatrist 205 Arlington Dr, Vidalia, GA 30474-7209 2007-05-10
1528040326 Michael G Wiggins Nurse Practitioner 205 Arlington Dr, Vidalia, GA 30474-7209 2005-11-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730655374 Abby Virginia Adams Speech-Language Pathologist 101 Harris Insustrial Blvd, Vidalia, GA 30474 2018-10-22
1467930156 Laurel Shiver Sapp Nurse Practitioner 1608 Meadows Ln, Vidalia, GA 30474 2018-08-03
1235658931 Mary Frances Andrews Nurse Practitioner 1608 Meadows Lane Suite 1, Vidalia, GA 30474 2017-09-13
1154714574 Georgia Eye Institute of The Southeast, LLC Optometrist 104 Andrews Street, Suite 112, Vidalia, GA 30474 2015-03-10
1790112571 Tattnall Hospital Company, LLC Surgery 1702-a Meadows Lane, Vidalia, GA 30474 2013-10-10
1801235312 Paul Anderson Youth Home, Inc. Substance Abuse Rehabilitation Facility 1603 Mcintosh Street, Vidalia, GA 30474 2013-06-18
1043591076 Kimberly Thigpen Evans Nurse Practitioner 621 East First Street, Unit B, Vidalia, GA 30474 2011-09-03
1154614360 Tattnall Hospital Company, LLC Family Medicine 1811 Edwina Drive, Vidalia, GA 30474 2011-05-20
1255586053 Vidalia Medical Partners Inc. Home Health 801 Mcnatt Street, Vidalia, GA 30474 2008-11-20
1154596419 Jill Nicole Lawrence Speech-Language Pathologist 1400 Ne Main St, Bethany Alf, Vidalia, GA 30474 2008-04-28
Find all providers in zip 30474

Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437652815 Southeast Regional Primary Care Corporation Podiatrist 1707 Meadows Ln Ste H, Vidalia, GA 30474-7201 2018-03-13
1659378750 Matthew Demore IIi Podiatrist 1707 Meadows Ln, Suite H, Vidalia, GA 30474-7200 2005-07-05
1104030824 Wiggins Foot and Ankle Associates P.C. Podiatrist 205 Arlington Dr, Vidalia, GA 30474-7209 2007-05-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518515980 Da Vinci Foot and Ankle Madison LLC Podiatrist 1740 Lions Club Rd Ste 200, Madison, GA 30650-4762 2019-08-29
1376191106 Ryan Goldfine Dpm LLC Podiatrist 3451 Ernest W Barrett Pkwy Suite 170, Mariettta, GA 30269 2019-08-26
1073076170 Kalish Foot & Ankle Institute Podiatrist 6911 Tara Blvd Ste 101, Jonesboro, GA 30236-1503 2019-04-08
1427523919 Tommy Lee Tally Podiatrist 8225 Mall Pkwy Ste 230, Lithonia, GA 30038-6913 2018-10-10
1881188944 Joshua Jae Lee Podiatrist 3425 Buford Dr Ste 350, Buford, GA 30519-8785 2018-06-21
1447762927 Ponders Podiatry LLC Podiatrist 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 2017-10-24
1194245894 Yusuf Abiodun Opakunle Podiatrist 600 Professional Dr Ste 130, Lawrenceville, GA 30046-7638 2017-06-23
1891228540 Vishal Patel Podiatrist 755 Mount Vernon Hwy Ne Ste 210, Atlanta, GA 30328-4279 2017-04-10
1497296552 Ankle and Foot Assoc, LLC Podiatrist 118 Azalea Rd, Suite 1-2, Baxley, GA 31513-0672 2017-03-09
1245770437 Ankle and Foot Assoc, LLC Podiatrist 94 Andrews Way, Saint Marys, GA 31558-1632 2017-03-07
Find all providers with the same taxonomy

Competitor

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City VIDALIA
Zip Code 30474

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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