Active NPI
Healthwise Family Practice LLC
- Family Medicine Physician
- Barnwell, SC
National Provider Identifier
1033240205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HEALTHWISE FAMILY PRACTICE LLC
- Practice address
- 154 Wren St
Barnwell, SC 29812-1527 - Phone
- (803) 259-3399
- Fax
- (803) 259-4477
- NPI assigned
- Mar 8, 2007
- Last updated
- Jul 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharon G Wise, APRN
- Title
- Owner
- Phone
- (803) 259-3399
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
154 Wren St
Barnwell, SC 29812-1527
Mailing address
154 Wren St
Barnwell, SC 29812-1527
Phone (803) 259-3399
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP4655 | Medicaid | SC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Barnwell, SC
- NPI 1376618181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216771200000",
"number": "1033240205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 WREN ST",
"city": "BARNWELL",
"state": "SC",
"postal_code": "298121527",
"telephone_number": "803-259-3399",
"fax_number": "803-259-4477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 WREN ST",
"city": "BARNWELL",
"state": "SC",
"postal_code": "298121527",
"telephone_number": "803-259-3399",
"fax_number": "803-259-4477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHWISE FAMILY PRACTICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-08",
"last_updated": "2008-07-23",
"status": "A",
"authorized_official_last_name": "WISE",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-259-3399",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP4655",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Barnwell, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.