VICY WIGGINS CARROLL (MN, RN, NP-C) – Family Nurse Practitioner, NPI 1417470162
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for VICY WIGGINS CARROLL (MN, RN, NP-C)
2804 N Oak St Ste C
Valdosta, GA 316025913
Phone: (912) 383-6575
Fax: (912) 383-6476
Type: Location
100 Doctors Dr Ste I
Douglas, GA 315332211
Phone: (912) 383-6575
Fax: (912) 383-6476
Type: Location
100 Doctors Dr Ste F
Douglas, GA 315332211
Phone: (912) 383-6575
Fax: (912) 383-6476
Type: Location
1100 WARD STREET EXT W
DOUGLAS, GA 315331902
Phone: (912) 384-1477
Type: Mailing
1622, Madison Avenue, Tifton, Tift County, Georgia, 31794, United States
TIFTON, GA 317943756
Phone: (229) 387-8061
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $353.
Total Amount is formed as General ($353) + Research ($0) + Ownership ($0) = $353.
Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Myriad Genetic Laboratories, Inc. ($160).
Total Amount
$353
General + Research + Ownership
Payments
10
Total payment records
General Amount
$353
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-08
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-10-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171010002251 | I | Nurse Practitioner | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 20 | 19 | $0 |
Insurance plans in this area (ZIP 31602)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| Critical Care (Intensivists), Internal Medicine, Pulmonary Disease | NY | |
| Nurse Practitioner | GA | |
| Orthopedic Surgery | GA | |
| N E U R O L O G Y | GA | |
| General Surgery, Vascular Surgery | GA | |
| Pulmonary Disease, Sleep Medicine | WI | |
| N E U R O S U R G E R Y | CA |
Reviews
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