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WIGGINS PRIMARY CARE
NPI 1740293257
Clinic/Center - Rural Health in Wiggins, MS

Active since August 14, 2006CLIA 25D1040418 · Waiver
975 HALL ST, WIGGINS, MS 39577(601) 528-9119(601) 528-9193 Get Directions Write a Review

NPPES record last updated: November 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1740293257
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameWIGGINS PRIMARY CARE
Location Address975 HALL STWiggins, MS 39577-2107
Mailing AddressPo Box 1007Lucedale, MS 39452-1007 · (601) 528-9119 · Fax (601) 528-9193
Phone(601) 528-9119
Fax(601) 528-9193
Organization SubpartNo
Authorized OfficialKathy FenderAdministrator · (601) 947-8181
Enumeration DateAugust 14, 2006
Last NPPES UpdateNovember 7, 2019
✔ NPI 1740293257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
975 HALL ST, Wiggins, MS 39577
Open in Google Maps ↗

Other Identifiers 2

Medicaid00488801MS
OtherC03308MS · Medicare Cahaba

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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, MS
Active · expires May 8, 2027
CLIA Number25D1040418
Laboratory TypeRural Health Clinic
Certificate Effective DateMay 9, 2025
Certificate Expiration DateMay 8, 2027
Laboratory DirectorDeepinder Burn
Laboratory Phone(601) 528-9119
Laboratory LocationWiggins Primary Care975 Hall Street, Wiggins, MS 39577
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

MELANIE LINTON HUGHES FNP
Nurse Practitioner (Family)
975 HALL ST
WIGGINS, MS 39577
Stone County (601) 528-9119
MRS. GLYNNIS D RANDALL F.N.P.
Nurse Practitioner
975 HALL ST
WIGGINS, MS 39577
Stone County (601) 528-9119
DONALD ROBERT DORAN JR. D.O.
Family Medicine
975 HALL ST
WIGGINS, MS 39577
Stone County (601) 528-9119
DR. DEEPINDER S. BURN M.D.
Internal Medicine
975 HALL ST
WIGGINS, MS 39577
Stone County (601) 528-9119
ERIN COUEY
Nurse Practitioner (Family)
975 HALL ST
WIGGINS, MS 39577
Stone County (601) 528-9119
CRYSTAL RENEE STAFFORD FNP-C
Nurse Practitioner (Family)
975 HALL ST
WIGGINS, MS 39577
Stone County (601) 528-9119
MICHELLE LORRAINE MCQUEEN FNP
Nurse Practitioner (Family)
975 HALL ST
WIGGINS, MS 39577
Stone County (601) 528-9119

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 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.

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 from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 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.