Kathryn Diana Wilson-Horney, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

595 Issued in SC

Practice address

4340 Ladson Rd
Suite C
Summerville, SC 29485

Phone

(843) 851-9069

NPI assigned

Jan 3, 2007

Last updated

Oct 25, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Coastal Carolina Podiatry Inc

  • Foot & Ankle Surgery Podiatrist
  • Ladson, SC
  • NPI 1154331544
  Medicare reassignment NPD
• Flowertown Podiatry, Inc

  • Primary Podiatric Medicine Podiatrist
  • Ladson, SC
  • NPI 1457728032
  Authorized official Same address or phone

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1073670493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 DOLPHIN DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294854181",
            "telephone_number": "843-376-5348",
            "fax_number": "843-353-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 LADSON RD",
            "address_2": "SUITE C",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "29485",
            "telephone_number": "843-851-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON-HORNEY",
        "first_name": "KATHRYN",
        "middle_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AA36930281",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharreka A Williams
• James Reed Williamson, D.M.D.
• Amber D Willis, MD
• Matthew Michael Willis, DMD
• Willturn PC (Cornerstone Chiropractic)
• Rachel L Wilson-Johnson
• Esther Spiegle Wilson, MD
• Lucretia D. Wilson, PMHNP-BC
• Selena Wilson, LPC
• Clarence William Wimberly Jr., MD

• Podiatrist in Summerville, SC
• Providers in Summerville, SC by specialty
• Podiatrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.

Verify at the official NPI Registry.