Active NPI
Brittany S Wichers, PA-C
- Physician Assistant
- Taylors, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA3207
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 168581 | Medicaid | AL | |
| 003126324 | Medicaid | GA |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6498 | GA | MD | Physician Assistant |
| PA3207 | SC | MD | Physician Assistant |
Interoperability endpoints
- 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.
-
- Urgent Care Clinic/Center
- Greenville, SC
- NPI 1851000855
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.