WALK-IN MD
NPI 1558628701
Family Medicine in Cartersville, GA
About Walk-in Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALK-IN MD (NPI 1558628701) is a healthcare organization registered as a family medicine in Cartersville, Georgia and active in the NPI registry since April 2012. The organization holds a CLIA Waiver certificate valid through September 7, 2028 and lists Jerry Mark Wigley, M.d./owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Walk-in Md 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 Walk-In MD, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 11D2043258
Walk-In MD · Cartersville, GAFrequently 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 Jerry Mark Wigley MD's NPI number?
The NPI number for Jerry Mark Wigley MD is 1558628701. It was assigned to this organization in the NPPES registry on April 12, 2012. The provider is doing business as Walk-In MD.
Where is Jerry Mark Wigley MD located?
Jerry Mark Wigley MD is located at 179 Pine Grove Rd Suite B, Cartersville, GA 30120. The listed phone number is (770) 387-4544.
What is Jerry Mark Wigley MD's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jerry Mark Wigley MD enrolled in Medicare?
Yes. Jerry Mark Wigley MD is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jerry Mark Wigley MD?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Jerry Mark Wigley MD. 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 Jerry Mark Wigley MD hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2043258) is associated with this NPI, valid through September 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Jerry Mark Wigley MD was last updated on April 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Walk-In Md · NPI 1558628701
Family Medicine organization in Cartersville, Georgia. Organization record, active in the CMS NPPES registry since April 12, 2012.
## Identity
- **NPI:** 1558628701 (Entity type: Organization)
- **Enumerated:** April 12, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Jerry Mark Wigley Md
- **Organization subpart:** No
- **Authorized official:** Jerry Wigley, M.D./OWNER
## Practice location
- **Address:** 179 PINE GROVE RD, SUITE B, Cartersville, GA 30120-8422
- **Phone:** (770) 387-4544
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 12, 2012
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1558628701) · Data from the CMS NPPES public registry.