Ryan Wilson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

23730 Issued in SC

Practice address

201 Business Center Dr
Pawleys Island, SC 29585-6522

Phone

(843) 314-3209

NPI assigned

Apr 7, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medcare Express - North Charleston LLCGroup PAC ID 7618074899, 69 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Medcare Express - North Charleston LLC

  dba Medcare Urgent Care

  • Urgent Care Clinic/Center
  • Charleston, SC
  • NPI 1457579617
  Medicare reassignment Care Compare group NPD
• Medcare Urgent Care Center - Anderson LLC

  • Urgent Care Clinic/Center
  • Anderson, SC
  • NPI 1689004095
  NPD
• Scmwc Inc

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Myrtle Beach, SC
  • NPI 1356187132
  NPD
• Charleston Carenow Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Goose Creek, SC
  • NPI 1093248288
  NPD (past)

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1124657556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2996 E HIGHWAY 501",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269532",
            "telephone_number": "843-347-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BUSINESS CENTER DR",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295856522",
            "telephone_number": "843-314-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "23730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Weyand, PHARMD
• April Nicole Wheeler, COTA/L
• Emma Wheeler, SSP, NCSP, LPES
• Donald Robert Williams, DR OF CHIROPRACTIC
• Willow Oak Counseling and Behavioral Services, LLC.
• Abby J Wingard, SLP
• Winyah Ancillaries, LLC
• Winyah Diagnostics Inc
• Winyah Surgical Specialists, PA
• Dana Woodard, ATC

• Family Nurse Practitioner in Pawley's Island, SC
• Providers in Pawley's Island, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.