P Praxis·MD
● Active Type 1 · Individual

Vicy Wiggins Carroll, MN, RN, NP-C

Nurse Practitioner·Tifton, GA· NPI 1417470162 · Enumerated 2017 · 8 years on NPI
Carroll is 1 of 113 nurse practitioner providers in Tifton and 1 of 8826 in Georgia.
NPI age
8 years
Enumerated 2017-07-24
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-11-20
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
8 years
≈ at median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-07Enumerated in NPPES
2017 2026

Where they practice

Practice location
1622 Madison Ave
Tifton, GA 317943756
📞 2293878061
Mailing address
1100 Ward Street Ext W
Douglas, GA 315331902
📞 9123841477

Additional practice locations

3 secondary locations on file with NPPES.

Location 2
2804 N Oak St Ste C
Valdosta, GA 316025913
📞 9123836575fax 9123836476
Location 3
100 Doctors Dr Ste I
Douglas, GA 315332211
📞 9123836575fax 9123836476
Location 4
100 Doctors Dr Ste F
Douglas, GA 315332211
📞 9123836575fax 9123836476

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN086037 taxonomy 363LF0000X

Identifiers

TypeValueNotes
01 (GA) RN086037 MEDICAL LICENSE

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new nurse practitioner provider has been added in Tifton in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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