MRS. MARY K WIGGS (NPI# 1831149392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831149392 |
| Entity Type | Individual |
| Full Name | MRS. MARY K WIGGS |
| Other Name | MARY KATHERINE MERCADO |
| Credential | ARNP |
| Practice Address |
555 N Byron Butler Pkwy Perry FL 32347-2315 |
| Practice Telephone | 8502235409 |
| Practice Fax Number | 8502235402 |
| Mailing Telephone | 8502235409 |
| Mailing Fax Number | 8502235402 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | APRN9422930 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | RN133916 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9243546 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICAL LICENSE | 133916 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2500 Starling St, Suite 303, Brunswick, GA 315204265 | 9124665303 |
| Street Address |
555 N BYRON BUTLER PKWY |
| City | PERRY |
| State | FL |
| Zip Code | 32347-2315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699770545 | Big Bend Operations | Technician/Technologist | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2005-06-16 |
| 1245707967 | Courtney Williams | Social Worker | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2018-10-31 |
| 1891223970 | Marsha Kelly Oxamendi | Social Worker | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2017-06-01 |
| 1295263168 | Sara K Shaw | Case Management | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2017-05-23 |
| 1992150916 | A New Dawn, A New Beginning, Inc | Social Worker | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2016-04-27 |
| 1881056711 | Linda Irvin | Nurse Practitioner | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2016-03-21 |
| 1982092110 | Tiffany Dee Kelley | Physical Therapy Assistant | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2014-12-22 |
| 1740611433 | Florida Medical Practice Plan Inc | General Practice | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2013-12-05 |
| 1013346345 | Dawna Marie Haswell | Social Worker | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2013-11-07 |
| 1215364187 | Guillot Enterprises, LLC | Clinic/Center | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2013-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225250764 | Advance Speech and Language Center | Speech-Language Pathologist | 214 North Washington Street, Perry, FL 32347 | 2007-05-03 |
| 1043386865 | Doctors Memorial Hospital | Radiology | Doctors Memorial Hospital, 333 N Byron Butler Parkway, Perry, FL 32347 | 2006-11-24 |
| 1467472282 | Firas A Hamdan | Otolaryngology | 1224 N Peacock Ave, Perry, FL 32347 | 2006-07-21 |
| 1841229333 | Miles V Nelson | Surgery | 1218 N Peacock Ave, Perry, FL 32347 | 2006-06-30 |
| 1679518187 | Diane A Schlick | Family Medicine | 616 S Jefferson Street, Perry, FL 32347 | 2006-06-18 |
| 1609233170 | Rachel Gilliam | Occupational Therapy Assistant | 207 Marshall Dr, Perry, FL 32347 | 2016-01-28 |
| 1184041741 | Pamela Sauls | Family Medicine | 315 E Ash St, Perry, FL 32347 | 2014-03-20 |
| 1356664924 | Jacqueline Bailey | Speech-Language Pathologist | 207 Marshall Dr, Perry, FL 32347 | 2010-03-10 |
| 1831511070 | Rebecca Carroll Wambolt | Speech-Language Pathologist | 1835 Oak Ridge Ln, Perry, FL 32347-0610 | 2014-01-07 |
| 1871130856 | Carestandard Corporation | Family Medicine | 688 A B Murphy Rd, Perry, FL 32347-0810 | 2019-12-09 |
| Find all providers in zip 32347 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093209835 | Alyssa Megan Taylor | Nurse Practitioner | 277 Perry Pkwy Ste C, Perry, GA 31069-8428 | 2018-06-15 |
| 1699226001 | Middle Georgia Primary Care | Nurse Practitioner | 1115 Morningside Drive, Perry, GA 31069 | 2016-10-20 |
| 1639535628 | Holly Lavender | Nurse Practitioner | 1016 Keith Dr, Perry, GA 31069 | 2016-01-07 |
| 1093197667 | Dulcie Yelverton | Nurse Practitioner | 1762 Morgan Whiddon Rd, Perry, FL 32347-2145 | 2015-06-19 |
| 1215125372 | Plainsmen Health Services Inc. | Nurse Practitioner | 14000 23rd St, Suite 1a, Perry, KS 66073-4046 | 2007-10-12 |
| 1083652259 | Nunnie Emery | Nurse Practitioner | 402 E Ash St, Perry, FL 32347-2105 | 2006-06-02 |
| 1609413731 | Ashlee Marie Morman | Nurse Practitioner | 616 10th St, Perry, IA 50220-2221 | 2019-12-09 |
| 1134761125 | Sarah Coxwell Harris | Nurse Practitioner | 1016 Keith Dr, Perry, GA 31069-2947 | 2019-10-11 |
| 1467013466 | Macy Ely | Nurse Practitioner | 1215 N Peacock Ave, Perry, FL 32347-2117 | 2019-06-21 |
| 1811456189 | Kristen Taylor Bland | Nurse Practitioner | 100 Plantation Rd, Perry, FL 32348-6000 | 2019-03-17 |
| Find all providers in PERRY | ||||
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| 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.