Individual provider Active NPI

Vicki Wild-McLeod, NP-C

  • Family Nurse Practitioner
  • Hilton Head, SC
National Provider Identifier
1104229657
Registry record updated Nov 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31011 Issued in SC
Practice address
8 Hospital Center Blvd Ste 130
Hilton Head, SC 29926-8701
Phone
(843) 682-2800
NPI assigned
Sep 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN241067 GA
Family Nurse Practitioner 363LF0000X 31011 SC Primary

Addresses

Primary practice location

8 Hospital Center Blvd Ste 130
Hilton Head, SC 29926-8701

Mailing address

4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 350-1092

Other practice location 1

4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 350-1092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221212000740 GA Practitioner - Nurse Practitioner 0840669081 Reassigns benefits to 1 organization
I20251209000278 SC Practitioner - Nurse Practitioner 0840669081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hilton Head Regional Physician Group LLCGroup PAC ID 9234573676, 114 clinicians

Practice addresses (Care Compare)

75 Baylor Dr
Suite 155
Bluffton, SC 29910-8965
Phone (843) 682-7480

Hospital & facility affiliations

  • Novant Health Hilton Head Medical Center Hospital, Hilton Head Island, SC, CCN 420080
  • Coastal Carolina Hospital Hospital, Hardeeville, SC, CCN 420101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
31011SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hilton Head Regional Physician Group LLC CurrentSince Oct 1, 2025 Accepting new patients
Pruitthealth Physicians Services, LLC Family CurrentSince Sep 1, 2022 Accepting new patients
Hilton Head Regional Physician Group LLC CurrentSince Oct 1, 2025 Accepting new patients
Hilton Head Heart PA Past Accepting new patients

Locations

1000 Briarcliff Rd NE
Atlanta, GA 30306
Phone (404) 875-4890

1626 Jeurgens Ct
Norcross, GA 30093
Phone (770) 806-6875

12825 White Bluff Rd
Savannah, GA 31419
Phone (912) 660-1683

75 Baylor Dr
Ste 155
Bluffton, SC 29910
Phone (843) 706-2523

8 Hospital Center Blvd
Ste 130
Hilton Head Island, SC 29926
Phone (843) 682-2740

8 Okatie Center Blvd S
Ste 101
Okatie, SC 29909
Phone (843) 705-9350

Interoperability endpoints

  • Direct secure messaging: vicki.wild-mcleod.1@30548.direct.athenahealth.com

Organizations & group practices 4

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 2

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": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763769600000",
    "number": "1104229657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 WATERS AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046220",
            "telephone_number": "912-350-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HOSPITAL CENTER BLVD STE 130",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299268701",
            "telephone_number": "843-682-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Waters Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314046220",
            "country_code": "US",
            "telephone_number": "912-350-1092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILD-MCLEOD",
        "first_name": "VICKI",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2025-11-22",
        "certification_date": "2025-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN241067",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "31011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head, SC

Sources for this page

Verify at the official NPI Registry.