Active NPI
Laine Blank Way
- Family Medicine Physician
- Manning, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 82721
- Practice address
- 50 E Hospital St Ste 3
Manning, SC 29102-3149 - Phone
- (803) 435-8828
- Fax
- (843) 435-2239
- NPI assigned
- Mar 21, 2019
- 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 Medicine Physician | 207Q00000X | 82721 | SC | Primary |
Addresses
Primary practice location
50 E Hospital St Ste 3
Manning, SC 29102-3149
Mailing address
PO Box 3239
Florence, SC 29502-3239
Phone (803) 435-8828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 827216 | Medicaid | SC |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of South Carolina School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
50 E Hospital St
Suite 2
Manning, SC 29102-3149
Phone (803) 435-5250
710 Chesterfield Hwy
Cheraw, SC 29520-7001
Phone (843) 537-0010
Hospital & facility affiliations
- McLeod Home Health Inc
- McLeod Health Clarendon
- McLeod Regional Medical Center-Pee Dee
- Prisma Health Tuomey Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82721 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Health Clarendon | Current | Accepting new patients | |
| McLeod Health Clarendon | Family Medicine | Current | Accepting new patients |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc. | Family Medicine | Current | Accepting new patients |
| McLeod Physician Associates II | Family Medicine | Current | Accepting new patients |
| McLeod Physician Associates II | Current | Accepting new patients | |
| McLeod Health Clarendon | Family Medicine | Current | Accepting new patients |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients |
Locations
710 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 537-0001
144 N Ravenel St
Florence, SC 29506
Phone (843) 777-2566
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950
800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337
50 E Hospital St
Ste 2
Manning, SC 29102
Phone (803) 433-0797
10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000
50 E Hospital St
Ste 3
Manning, SC 29102
Phone (803) 435-5236
1295 Wilson Hall Rd
Sumter, SC 29150
Phone (803) 905-6800
Interoperability endpoints
- lway41143@directmcleodehealth.org
Organizations & group practices 8
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.
-
- Certified Registered Nurse Anesthetist
- Manning, SC
- NPI 1508218793
-
- Family Medicine Physician
- Florence, SC
- NPI 1801990494
-
- Chronic Care Clinical Nurse Specialist
- Florence, SC
- NPI 1427004738
-
- Family Medicine Physician
- Manning, SC
- NPI 1497104525
-
- Orthopaedic Surgery Physician
- Florence, SC
- NPI 1922555739
-
- Community/Retail Pharmacy
- Florence, SC
- NPI 1871775841
-
- Family Medicine Physician
- Florence, SC
- NPI 1205882461
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Manning, SC
- NPI 1205284411
-
- Home Health Agency
- Florence, SC
- NPI 1215991682
-
- General Acute Care Hospital
- Florence, SC
- NPI 1699756221
-
- General Acute Care Hospital
- Sumter, SC
- NPI 1326043548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657065600000",
"number": "1114487519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3239",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295023239",
"telephone_number": "803-435-8828",
"fax_number": "803-435-2239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E HOSPITAL ST STE 3",
"city": "MANNING",
"state": "SC",
"postal_code": "291023149",
"telephone_number": "803-435-8828",
"fax_number": "843-435-2239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAY",
"first_name": "LAINE",
"middle_name": "BLANK",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-21",
"last_updated": "2022-07-06",
"certification_date": "2022-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "82721",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "827216",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manning, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.