Active NPI
Wesley Averill
- Family Medicine Physician
- Greenville, SC
National Provider Identifier
1104576321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 95238
- Practice address
- 877 W Faris Rd
Greenville, SC 29605-4289 - Phone
- (864) 455-7800
- NPI assigned
- Mar 29, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 95238 | SC | Primary |
Addresses
Primary practice location
877 W Faris Rd
Greenville, SC 29605-4289
Mailing address
877 W Faris Rd
Greenville, SC 29605-4289
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250904003862 | SC | Practitioner - Family Practice | 3476934233 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Kentucky College of Medicine, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
300 E McBee Ave
Greenville, SC 29601-2842
Hospital & facility affiliations
- Prisma Health Greenville Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Urgent Care of South Carolina, PC | Current | Accepting new patients | |
| Prisma Health University Medical Group | Family Medicine | Current | Accepting new patients |
| Prisma Health University Medical Group | Current | Accepting new patients |
Locations
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
877 W Faris Rd
Ste A
Greenville, SC 29605
Phone (864) 455-7800
1298 Woodruff Rd
Fl 4
Greenville, SC 29607
Phone (864) 236-4700
877 W Faris Rd
Greenville, SC 29605
Phone (864) 455-7800
1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609
Interoperability endpoints
- waverill583868@direct.ghs.myhfn.org
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
Family Medicine, SC
-
- Urgent Care Clinic/Center
- Greenville, SC
- NPI 1851000855
SC
-
- Gynecology Physician
- Greer, SC
- NPI 1003619313
Hospital & facility affiliations 39
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medically Fragile Infants and Children Day Care
- Greenville, SC
- NPI 1093168064
Hospital
-
- Sleep Disorder Diagnostic Clinic/Center
- Greenville, SC
- NPI 1275086431
Hospital
-
- Developmental Disabilities Clinic/Center
- Greenville, SC
- NPI 1336695436
Hospital
-
- Developmental Disabilities Clinic/Center
- Greenville, SC
- NPI 1396291407
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1104576321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "877 W FARIS RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "877 W FARIS RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054289",
"telephone_number": "864-455-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERILL",
"first_name": "WESLEY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-29",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "95238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.