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WIGGINS FAMILY PRACTICE INC.
NPI 1316126139
Clinic/Center in Vidalia, GA

Active since October 29, 2007CLIA 11D1046157 · Waiver
205 ARLINGTON DR, VIDALIA, GA 30474(912) 537-2530(912) 537-2540 Get Directions Write a Review

NPPES record last updated: December 8, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wiggins Family Practice Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WIGGINS FAMILY PRACTICE INC. (NPI 1316126139) is a healthcare organization registered as a clinic/center in Vidalia, Georgia and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through October 2, 2027 and lists Michael G Wiggins, Fnp/ceo, as its authorized official.

NPPES Registry Identity

NPI1316126139
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWIGGINS FAMILY PRACTICE INC.
Location Address205 ARLINGTON DRVidalia, GA 30474-7209
Mailing Address205 Arlington DrVidalia, GA 30474-7209 · (912) 537-2530 · Fax (912) 537-2540
Phone(912) 537-2530
Fax(912) 537-2540
Organization SubpartNo
Authorized OfficialMichael G WigginsFnp/ceo · (912) 537-2530
Enumeration DateOctober 29, 2007
Last NPPES UpdateDecember 8, 2014
✔ NPI 1316126139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in GA · R102724
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
205 ARLINGTON DR, Vidalia, GA 30474
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Other Identifiers 3

OtherDQ8960GA · Railroad Medicare
Medicare PIN50BBDTBGA
Medicare UPINP24418GA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wiggins Family Practice Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wiggins Family Practice Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Wiggins, FNP
Nurse Practitioner
NPI 1528040326
205 ARLINGTON DR
Vidalia, GA 30474
(912) 537-2530
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D1046157

Wiggins Family Practice · Vidalia, GA
Active · expires Oct 2, 2027
CLIA Number11D1046157
Laboratory TypePhysician Office
Certificate Effective DateOctober 3, 2025
Certificate Expiration DateOctober 2, 2027
Laboratory DirectorDavid Paine
Laboratory Phone(912) 537-2530
Laboratory LocationWiggins Family Practice205 Arlington Avenue, Vidalia, GA 30474
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wiggins Family Practice Inc.'s NPI number?

The NPI number for Wiggins Family Practice Inc. is 1316126139. It was assigned to this organization in the NPPES registry on October 29, 2007.

Where is Wiggins Family Practice Inc. located?

Wiggins Family Practice Inc. is located at 205 Arlington Dr, Vidalia, GA 30474. The listed phone number is (912) 537-2530.

What is Wiggins Family Practice Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Wiggins Family Practice Inc. enrolled in Medicare?

Yes. Wiggins Family Practice Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wiggins Family Practice Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Wiggins Family Practice Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wiggins Family Practice Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1046157) is associated with this NPI, valid through October 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wiggins Family Practice Inc. was last updated on December 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.