Individual provider Active NPI

Linda Wilds, FNP

  • Family Nurse Practitioner
  • Marion, SC
National Provider Identifier
1154776722
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20050 Issued in SC
Practice address
145 Palmetto Pointe Rd
Marion, SC 29571-6721
Phone
(843) 423-2400
NPI assigned
May 2, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 9

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 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Care Partners of South Carolina, Inc. 21 clinicians

Practice addresses (Care Compare)

145 Palmetto Pointe Rd
Marion, SC 29571-6721
Phone (843) 423-2400

Hospital & facility affiliations

  • Musc Health Marion Medical Center Hospital, Mullins, SC, CCN 420055

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
I20170208000831 SC Practitioner - Nurse Practitioner 5890078323 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Partners of South Carolina, Inc. CurrentSince Dec 28, 2016 Accepting new patients
Health Care Partners of South Carolina, Inc. CurrentSince Dec 28, 2016 Accepting new patients
Health Care Partners of South Carolina, Inc. Past Accepting new patients
Health Care Partners of South Carolina, Inc. Past Accepting new patients
Health Care Partners of South Carolina, Inc. Past Accepting new patients

Locations

1608 Main St
Conway, SC 29526
Phone (843) 488-6032

1708 Oak St
Conway, SC 29526
Phone (843) 488-6363

145 Palmetto Pointe Rd
Marion, SC 29571
Phone (843) 423-2400

Interoperability endpoints

  • Direct secure messaging: linda.wilds@hcposc.eclinicaldirectplus.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20050 SC Primary

Addresses

NPPES NPI Registry

Primary practice location

145 Palmetto Pointe Rd
Marion, SC 29571-6721

Mailing address

145 Palmetto Pointe Rd
Marion, SC 29571-6721
Phone (843) 423-2400

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
NP4125MedicaidSC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 27, 2016.

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1154776722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 PALMETTO POINTE RD",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295716721",
            "telephone_number": "843-423-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 PALMETTO POINTE RD",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295716721",
            "telephone_number": "843-423-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDS",
        "first_name": "LINDA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP4125",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, SC

Sources for this page

Verify at the official NPI Registry.