Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vicy Wiggins Carroll, MN, RN, NP-C

Individual provider Family Nurse Practitioner · NPI 1417470162

Vicy Wiggins Carroll, MN, RN, NP-C is a Nurse Practitioner in Tifton, Georgia. Qualified in 2017, 9 years ago. Practices with Sgmc Physician Network Inc, a 127-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2017
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

1622 Madison Ave
Tifton, GA 31794-3756
Phone: (229) 387-8061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 100 Doctors Dr Ste I, Douglas, GA 31533-2211 — (912) 383-6575
  • 100 Doctors Dr Ste F, Douglas, GA 31533-2211 — (912) 383-6575
  • 2804 N Oak St Ste C, Valdosta, GA 31602-5913 — (912) 383-6575

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN086037 (GA)

Record details

NPI number1417470162
Entity typeIndividual (Type 1)
GenderFemale
Credentials MN , RN , NP-C
Sole proprietorYes
NPI enumeratedJuly 24, 2017
Last updated in NPPESNovember 20, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Sgmc Physician Network Inc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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