WIGGINS PRIMARY CARE
NPI 1740293257
Clinic/Center - Rural Health in Wiggins, MS
About Wiggins Primary Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WIGGINS PRIMARY CARE (NPI 1740293257) is a healthcare organization registered as a rural health in Wiggins, Mississippi and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through May 8, 2027 and lists Kathy Fender, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Group Practice 1
Accepted Insurance
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 Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
24Medicare enrollment records show 24 clinicians reassign Medicare billing to Wiggins Primary Care, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 24Source: 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 25D1040418
Wiggins Primary Care · Wiggins, MSFrequently 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 Primary Care's NPI number?
The NPI number for Wiggins Primary Care is 1740293257. It was assigned to this organization in the NPPES registry on August 14, 2006.
Where is Wiggins Primary Care located?
Wiggins Primary Care is located at 975 Hall St, Wiggins, MS 39577. The listed phone number is (601) 528-9119.
What is Wiggins Primary Care's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Wiggins Primary Care enrolled in Medicare?
Yes. Wiggins Primary Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wiggins Primary Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 3 Medicare specialties reassign their Medicare billing to Wiggins Primary Care. 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. The largest specialties are Nurse Practitioner (18), Family Practice (3) and Internal Medicine (3). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Wiggins Primary Care hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D1040418) is associated with this NPI, valid through May 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Wiggins Primary Care accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Wiggins Primary Care as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Wiggins Primary Care was last updated on November 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Wiggins Primary Care · NPI 1740293257
Rural Health organization in Wiggins, Mississippi. Organization record, active in the CMS NPPES registry since August 14, 2006.
## Identity
- **NPI:** 1740293257 (Entity type: Organization)
- **Enumerated:** August 14, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Kathy Fender, ADMINISTRATOR
## Practice location
- **Address:** 975 HALL ST, Wiggins, MS 39577-2107
- **Phone:** (601) 528-9119 · **Fax:** (601) 528-9193
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 24 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (18), Family Practice (3), Internal Medicine (3); 7 practice within 10 miles; [full list](https://npiprofile.com/npi/1740293257/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 7, 2019
- **Other identifiers:** Medicaid 00488801 (MS); Other C03308 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1740293257) · Data from the CMS NPPES public registry.