Active NPI
Whitney D Lyerly Wilson, DNP
- Family Nurse Practitioner
- Greenwood, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 29109
- Practice address
- 1015 Spring St
Greenwood, SC 29646-3831 - Phone
- (864) 227-6741
- Fax
- (864) 227-6021
- NPI assigned
- Jul 29, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 29109 | SC | Primary |
Addresses
Primary practice location
1015 Spring St
Greenwood, SC 29646-3831
Mailing address
104 Wells Ave
Greenwood, SC 29646-3837
Phone (864) 725-4673
Other names 1
- Whitney D Lyerly
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
102 Gregor Mendel Cir
Greenwood, SC 29646-2315
Phone (864) 229-2663
102 Katie CT
Greenwood, SC 29646-4068
Phone (864) 725-7770
1033 Edgefield St
Greenwood, SC 29646-3205
Phone (864) 227-3908
104 Wells Ave
Greenwood, SC 29646-3837
105 Vinecrest CT
Greenwood, SC 29646-8031
109 Liner Dr
Greenwood, SC 29646-2311
Phone (864) 227-6401
1123 Spring St
Greenwood, SC 29646-3833
Phone (864) 450-9036
1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4111
1325 Spring St
Greenwood, SC 29646-3875
138 Wells Ave
Greenwood, SC 29646-3837
Phone (864) 725-4138
1506 Spring St
Greenwood, SC 29646-4071
Phone (864) 725-7900
155 Academy Ave
Greenwood, SC 29646-3869
Phone (864) 725-4865
160 Academy Ave
Greenwood, SC 29646-3808
Phone (864) 223-8090
298 Commerce Dr
Newberry, SC 29108-2953
Phone (803) 321-3232
305 W Alexander Ave
A
Greenwood, SC 29646-4009
Phone (864) 725-4111
410 Epting Ave
Greenwood, SC 29646-4040
Phone (864) 725-6042
905 W Greenwood St
Abbeville, SC 29620-5678
Phone (864) 725-7430
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29109 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Self Medical Group | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Self Regional Healthcare | Current | Accepting new patients | |
| Self Regional Healthcare | Current | Accepting new patients | |
| Self Medical Group | Past | Accepting new patients |
Locations
75 Remittance Dr
Dept 6793
Chicago, IL 60675
75 Remittance Dr
Dept 6764
Chicago, IL 60675
104 Wells Ave
Greenwood, SC 29646
1015 Spring St
Greenwood, SC 29646
Phone (864) 227-6741
155 Academy Ave
Greenwood, SC 29646
Phone (864) 725-4865
2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866
2605 Kinard St
Ste 200B
Newberry, SC 29108
Interoperability endpoints
- wlyerlywilson272963@selfregional.direct-ci.net
Organizations & group practices 6
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.
-
- Surgery Physician
- Greenwood, SC
- NPI 1982836847
-
- Family Medicine Physician
- Greenwood, SC
- NPI 1326067703
-
- Diagnostic Radiology Physician
- Greenwood, SC
- NPI 1659839694
-
- Orthopaedic Surgery Physician
- Greenwood, SC
- NPI 1952772253
-
- Neurology Physician
- Greenwood, SC
- NPI 1285502559
-
- Gastroenterology Physician
- Greenwood, SC
- NPI 1841047560
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Abbeville, SC
- NPI 1063449361
-
- Medicare Defined Swing Bed Hospital Unit
- Abbeville, SC
- NPI 1811096423
-
- Pain Medicine (Anesthesiology) Physician
- Greenwood, SC
- NPI 1013867498
Hospital
-
- General Acute Care Hospital
- Greenwood, SC
- NPI 1023046612
-
- General Acute Care Hospital
- Greenwood, SC
- NPI 1407887003
-
- Pain Medicine (Anesthesiology) Physician
- Clinton, SC
- NPI 1720938103
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1073342028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 WELLS AVE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296463837",
"telephone_number": "864-725-4673",
"fax_number": "864-725-7424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 SPRING ST",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296463831",
"telephone_number": "864-227-6741",
"fax_number": "864-227-6021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYERLY WILSON",
"first_name": "WHITNEY",
"middle_name": "D",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-29",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "29109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WHITNEY",
"last_name": "LYERLY",
"middle_name": "D",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greenwood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.