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WALK-IN MD
NPI 1558628701
Family Medicine in Cartersville, GA

Active since April 12, 2012CLIA 11D2043258 · Waiver
179 PINE GROVE RD, SUITE B, CARTERSVILLE, GA 30120(770) 387-4544 Get Directions Write a Review

NPPES record last updated: April 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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, 2026 and lists Jerry Mark Wigley, M.d./owner, as its authorized official.

NPPES Registry Identity

NPI1558628701
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJERRY MARK WIGLEY MD
Location Address179 PINE GROVE RD, SUITE BCartersville, GA 30120-8422
Mailing Address179 Pine Grove Rd, Suite BCartersville, GA 30120-8422 · (770) 387-4544
Phone(770) 387-4544
Organization SubpartNo
Authorized OfficialJerry Mark WigleyM.d./owner · (770) 387-4544
Enumeration DateApril 12, 2012
✔ NPI 1558628701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 034078
Definition
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.
179 PINE GROVE RD, Cartersville, GA 30120
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Other Names 1

Doing Business AsWalk-in Md

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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, GA
Active · expires Sep 7, 2026
CLIA Number11D2043258
Laboratory TypePhysician Office
Certificate Effective DateSeptember 8, 2024
Certificate Expiration DateSeptember 7, 2026
Laboratory DirectorUdunma N. Ikoro
Laboratory Phone(770) 387-4544
Laboratory LocationWalk-In MD179-B Pine Grove Road, Cartersville, GA 30120
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

QUASAR FAMILY MEDICINE GEORGIA LLC
Family Medicine
179 PINE GROVE RD
CARTERSVILLE, GA 30120
Bartow County (239) 935-5721
CARTERSVILLE FAMILY DENTISTRY, PC
Durable Medical Equipment & Medical Supplies
179 PINE GROVE RD, STE A
CARTERSVILLE, GA 30120
Bartow County (770) 387-0750

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 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.

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, 2026. 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.