Individual provider Active NPI

Laine Blank Way

  • Family Medicine Physician
  • Manning, SC
National Provider Identifier
1114487519
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
82721 Issued in SC
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

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
827216MedicaidSC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220812000099 SC Practitioner - Family Practice 0345570180 Reassigns benefits to 3 organizations

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
McLeod Health ClarendonGroup PAC ID 0840582656, 60 clinicians
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

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 Home health agency, Florence, SC, CCN 427057
  • McLeod Health Clarendon Hospital, Manning, SC, CCN 420109
  • McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051
  • Prisma Health Tuomey Hospital Hospital, Sumter, SC, CCN 420070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
82721SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Health Clarendon Current Accepting new patients
McLeod Health Clarendon Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Apr 1, 2024 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc. Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
McLeod Physician Associates II Family Medicine CurrentSince Feb 5, 2024 Accepting new patients
McLeod Physician Associates II CurrentSince Feb 5, 2024 Accepting new patients
McLeod Health Clarendon Family Medicine CurrentSince Jul 1, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.