JERRY MARK WIGLEY MD (NPI# 1558628701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558628701 |
| Entity Type | Organization |
| Organization Name | JERRY MARK WIGLEY MD |
| Other Organization Name | WALK-IN MD |
| Practice Address |
179 Pine Grove Rd Suite B Cartersville GA 30120-8422 |
| Practice Telephone | 7703874544 |
| Mailing Telephone | 7703874544 |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |
| Authorized Official Name | DR. JERRY MARK WIGLEY (M.D./OWNER) |
| Authorized Official Telephone | 7703874544 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 034078 | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Walk-In MD | Doing Business As Name - Organization |
| Street Address |
179 PINE GROVE RD SUITE B |
| City | CARTERSVILLE |
| State | GA |
| Zip Code | 30120-8422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932593282 | Cartersville Family Dentistry, PC | Durable Medical Equipment & Medical Supplies | 179 Pine Grove Rd, Ste A, Cartersville, GA 30120-8489 | 2015-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357325 | Rhonda Ireland | Pharmacist | 125 Main Street Marketplace, Cartersville, GA 30120 | 2020-05-12 |
| 1538719273 | The Golden Ages Corporoation | Nursing Care | 41 Walden Crossing, Cartrsville, GA 30120 | 2019-09-15 |
| 1932752391 | Jennifer Elaine Mclaurin | Counselor | 911 N. Tennesse Street, Suite 107, Cartersville, GA 30120 | 2019-07-24 |
| 1164989497 | Kayla Elizabeth Hoskins | Occupational Therapist | 7 E Cherokee Ave, Cartersville, GA 30120 | 2019-02-22 |
| 1942785837 | Adriane L Alexander | Social Worker | 24 Meadowbridge Drive, Cartersville, GA 30120 | 2018-09-26 |
| 1306329362 | Ashley Elizabeth Deal | Nurse Practitioner | 958a Joe Frank Harris Parkway, Suite 101, Cartersville, GA 30120 | 2018-09-14 |
| 1376037606 | Samuel Gilreath Tumlin | Dentist | 701 N. Tennessee St., Cartersville, GA 30120 | 2018-06-20 |
| 1437669108 | Deborah Susan Luper | Counselor | 106 Forrest Avenue, A Healing Place, Cartersville, GA 30120 | 2017-10-06 |
| 1750810693 | Debbie Fearon | Registered Nurse | 523 Mountain Chase, Cartersville, GA 30120 | 2017-06-05 |
| 1023486388 | Amanda Stanley | Pharmacist | 1150 West Ave, Cartersville, GA 30120 | 2015-09-03 |
| Find all providers in zip 30120 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669642484 | Louis Spencer | Family Medicine | 650 Henderson Drive Suite 504, Cartersville, GA 30120 | 2008-03-07 |
| 1558495929 | Timothy F Ryan | Family Medicine | 150 Cherokee Cir Se, Cartersville, GA 30120-4032 | 2007-03-15 |
| 1265560031 | Joseph Paul Newell | Family Medicine | 519 Waterford Dr, Cartersville, GA 30120-6444 | 2007-03-01 |
| 1922156462 | Benjamin R Smith | Family Medicine | 17 Collins Dr, Cartersville, GA 30120-2487 | 2007-01-08 |
| 1336152396 | Celedor Hutto Akintunde | Family Medicine | 31 Pointe North Dr, Cartersville, GA 30120-7954 | 2006-08-14 |
| 1699794818 | Jerry Mark Wigley | Family Medicine | 179b Pine Grove Rd., Cartersville, GA 30120 | 2006-07-19 |
| 1619993102 | C. Thomas Bevill IIi | Family Medicine | 12 Medical Dr Ne, Cartersville, GA 30121-8002 | 2006-07-15 |
| 1316986227 | Cartersville Urgent Care LLC | Family Medicine | 824 West Ave, Cartersville, GA 30120-6100 | 2006-06-06 |
| 1962460659 | Cartersville Family Medicine, Inc. | Family Medicine | 2294 Cartersville Rd, Cartersville, VA 23027-9701 | 2006-05-02 |
| 1487621033 | Lee H Battle IIi | Family Medicine | 775 West Ave, Suite A, Cartersville, GA 30120-3481 | 2006-03-02 |
| Find all providers in CARTERSVILLE | ||||
| City | CARTERSVILLE |
| Zip Code | 30120 |
Please comment or provide details below to improve the information on JERRY MARK WIGLEY MD.
| 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.