Clifton Wayne Wickiser, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2599 Issued in SC

Practice address

3618 E River St
Anderson, SC 29621-7334

Phone

(864) 224-0246

Fax

(864) 224-2524

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wickiser Rehab & Wellness LLC

  • Internal Medicine Physician
  • Anderson, SC
  • NPI 1053740852
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1144309469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 E RIVER ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296217334",
            "telephone_number": "864-224-0246",
            "fax_number": "864-224-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 E RIVER ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296217334",
            "telephone_number": "864-224-0246",
            "fax_number": "864-224-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKISER",
        "first_name": "CLIFTON",
        "middle_name": "WAYNE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2599",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fe Pauline M Whoolery
• Wickiser Clinic of Chiropractic
• Wickiser Family Chiropractic
• Wickiser Rehab & Wellness LLC
• Clayton Wade Wickiser, DC
• Benjamin Junghoon Wie
• Lacey Wilbanks
• Crystal Marie Wiles, COTA/L
• David R. Wilkerson
• Peggy Jane Wilkie, RN

• Chiropractor in Anderson, SC
• Providers in Anderson, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.