Individual provider Active NPI

Kerry Lewayne Wheeler, D.O.

  • General Practice Physician
  • Chapin, SC
National Provider Identifier
1164545224
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
934 Issued in SC
Practice address
2101 Dutch Fork Rd
Chapin, SC 29036-7576
Phone
(910) 742-9243
Fax
(888) 746-1787
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X SC LL 934 SC
General Practice Physician 208D00000X 934 SC Primary
Family Medicine Physician 207Q00000X 934 SC
Geriatric Medicine (Family Medicine) Physician 207QG0300X 934 SC

Addresses

Primary practice location

2101 Dutch Fork Rd
Chapin, SC 29036-7576

Mailing address

PO Box 538622
Atlanta, GA 30353-8622
Phone (910) 742-9243

Other identifiers 1

IdentifierTypeStateIssuer
GP4551MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121009000829 SC Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 7618126590 Reassigns benefits to 4 organizations
I20251217003181 PA Practitioner - Geriatric Medicine 7618126590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Nova Southeastern College of Osteo Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Logos Wound Care Solutions, LLC 6 clinicians

Practice addresses (Care Compare)

1200 Woodruff Rd
Suite 187 Building A3
Greenville, SC 29607-5730
Phone (801) 712-2075

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Newberry, SC, CCN 427850
  • Interim Healthcare of the Upstate Home health agency, Greenville, SC, CCN 427015
  • Patriot Hospice Hospice, Easley, SC, CCN 421614
  • Pruitthealth Hospice- Charleston Hospice, Ladson, SC, CCN 421573
  • Pruitthealth Hospice- Columbia Hospice, Columbia, SC, CCN 421565
  • Amedisys Hospice of South Carolina Hospice, Florence, SC, CCN 421555
  • Cherokee Medical Center Hospital, Gaffney, SC, CCN 420043
  • Anmed Health Hospital, Anderson, SC, CCN 420027
  • Aiken Regional Medical Center Hospital, Aiken, SC, CCN 420082
  • Anchor Post Acute Nursing home, Aiken, SC, CCN 425311
  • Patewood Post Acute Nursing home, Greenville, SC, CCN 425305
  • Aiken Rehabilitation and Care Center Nursing home, Aiken, SC, CCN 425308
  • West Village Post Acute Nursing home, Greenville, SC, CCN 425102
  • Powdersville Post-Acute Nursing home, Easley, SC, CCN 425298

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
934SCMDPsychologist
SC LL 934SCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Logos Wound Care Solutions PA LLC CurrentSince Aug 26, 2025 Accepting new patients
Careconnectmd South Carolina P.C. CurrentSince Nov 6, 2023 Accepting new patients
Physicians Services Group, P.C. CurrentSince Mar 28, 2019 Accepting new patients
Psgsc MSSP, P.C. CurrentSince Jul 24, 2025 Accepting new patients
Logos Wound Care Solutions, LLC CurrentSince Jun 12, 2024 Accepting new patients
Logos Care Solutions PA, LLC Past Accepting new patients
State of South Carolina Comptroller General PastSince Sep 30, 2025 Accepting new patients
SC-Ga2018 Greer Rehabilitation and Healthcare Center, LLC Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

2009 Mackenzie Way
Ste 100
Cranberry Twp, PA 16066
Phone (615) 723-2828

1200 Woodruff Rd
Ste A3
Greenville, SC 29607
Phone (801) 712-2075

2 Griffith Rd
Greenville, SC 29607
Phone (864) 276-8583

8595 Pelham Rd
Ste 400
Greenville, SC 29615
Phone (864) 316-8984

401 Chandler Rd
Greer, SC 29651
Phone (843) 766-9898

2906 Geer Hwy
Marietta, SC 29661
Phone (864) 383-6638

1240 Winnowing Way
Unit 102
Mt Pleasant, SC 29466
Phone (828) 396-5634

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aiken Rehabilitation and Care CenterAiken, SC, CCN 425308 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Nov 17, 2025
Nov 17, 2025
Patewood Post AcuteGreenville, SC, CCN 425305 Skilled nursing facility Contracted Managing Employee Sep 1, 2021
Powdersville Post AcuteEasley, SC, CCN 425298 Skilled nursing facility Contracted Managing Employee Oct 31, 2023
West Village Post AcuteGreenville, SC, CCN 425102 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Sep 1, 2021
Sep 1, 2021
River Falls Post AcuteMarietta, SC, CCN 425307 Skilled nursing facility Contracted Managing Employee Sep 1, 2021
Fountain Inn Post AcuteFountain Inn, SC, CCN 425168 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Oct 1, 2025
Oct 1, 2025
Palmetto Patriots HomeGaffney, SC, CCN 425003 Skilled nursing facility Corporate Director
Operational/Managerial Control
Adp of the SNF
Jan 1, 2024
Jan 1, 2025
Sep 30, 2025

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1164545224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 538622",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303538622",
            "telephone_number": "910-742-9243",
            "fax_number": "888-746-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 DUTCH FORK RD",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290367576",
            "telephone_number": "910-742-9243",
            "fax_number": "888-746-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "KERRY",
        "middle_name": "LEWAYNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "SC LL 934",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "SC",
            "license": "934",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "934",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "SC",
            "license": "934",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4551",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapin, SC

Sources for this page

Verify at the official NPI Registry.