Individual provider Active NPI

Brittany S Wichers, PA-C

  • Physician Assistant
  • Taylors, SC
National Provider Identifier
1144575499
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3207 Issued in SC
Practice address
3025 Wade Hampton Blvd
Taylors, SC 29687-2715
Phone
(864) 686-7981
NPI assigned
Jul 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6498 GA
Physician Assistant 363A00000X PA3207 SC Primary
General Practice Physician 208D00000X PA9109200 FL

Addresses

Primary practice location

3025 Wade Hampton Blvd
Taylors, SC 29687-2715

Mailing address

1305 S Suber Rd
Greer, SC 29650-0944
Phone (864) 686-7981

Other practice location 1

1305 S Suber Rd
Greer, SC 29650-0944
Phone (864) 989-4609

Other identifiers 2

IdentifierTypeStateIssuer
168581MedicaidAL
003126324MedicaidGA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240313001154 SC Practitioner - Physician Assistant 2769648104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Urgent Care of South Carolina PCGroup PAC ID 1254703788, 158 clinicians

Practice addresses (Care Compare)

115 State Park Rd
Greenville, SC 29609-2914
Phone (864) 438-3500

1305 S Suber Rd
Greer, SC 29650-0944
Phone (864) 989-4609

3025 Wade Hampton Blvd
Taylors, SC 29687-2715
Phone (864) 643-2340

6043 Calhoun Memorial Hwy
Easley, SC 29640-3811
Phone (803) 794-6780

718 Fairview Rd
Simpsonville, SC 29680-7117
Phone (864) 794-6555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6498GAMDPhysician Assistant
PA3207SCMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: bwichers749926@direct.ghs.myhfn.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1144575499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 S SUBER RD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296500944",
            "telephone_number": "864-686-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 WADE HAMPTON BLVD",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296872715",
            "telephone_number": "864-686-7981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 S Suber Rd",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296500944",
            "country_code": "US",
            "telephone_number": "864-989-4609",
            "fax_number": "864-989-4610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WICHERS",
        "first_name": "BRITTANY",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "6498",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "PA3207",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "PA9109200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168581",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003126324",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylors, SC

Sources for this page

Verify at the official NPI Registry.