Individual provider Active NPI

Marshall Scott Wise, D.O.

  • Emergency Medicine Physician
  • Greenville, SC
National Provider Identifier
1033406236
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
1517 Issued in SC
Practice address
701 Grove Rd
Greenville, SC 29605-5611
Phone
(864) 455-9022
Fax
(864) 455-9016
NPI assigned
Jul 8, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1517 SC
Emergency Medicine Physician 207P00000X 1517 SC Primary

Addresses

Primary practice location

701 Grove Rd
Greenville, SC 29605-5611

Mailing address

701 Grove Rd
Greenville, SC 29605-5611
Phone (864) 455-9022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150208000015 SC Practitioner - Emergency MedicinePractitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 3577711340 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Philadelphia College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acs Primary Care Physicians - Southeast PCGroup PAC ID 5193620714, 409 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians
Beaufort County Memorial HospitalGroup PAC ID 7810809365, 197 clinicians

Practice addresses (Care Compare)

10 E Hospital St
Manning, SC 29102-3153
Phone (803) 433-3000

805 Pamplico Hwy
Florence, SC 29505-6047
Phone (843) 674-2500

955 Ribaut Rd
Beaufort, SC 29902-5441
Phone (843) 522-5983

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1517SCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Hilton Head Emergency Physicians, Inc. Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Sep 8, 2019 Accepting new patients
Hilton Head Emergency Physicians, LLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Beaufort County Memorial Hospital Emergency Medicine CurrentSince Mar 23, 2025 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Musc Community Physicians Emergency Medicine Past Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351

955 Ribaut Rd
#C
Beaufort, SC 29902

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345

4000 Highway 9 E
Little River, SC 29566
Phone (843) 390-8100

3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000

10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

2829 E Highway 76
Mullins, SC 29574
Phone (843) 431-2150

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

3970 Grandview Dr
Simpsonville, SC 29680
Phone (864) 255-1000

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1033406236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 GROVE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296055611",
            "telephone_number": "864-455-9022",
            "fax_number": "864-455-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 GROVE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296055611",
            "telephone_number": "864-455-9022",
            "fax_number": "864-455-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "MARSHALL",
        "middle_name": "SCOTT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-08",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "1517",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "1517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.