Complete Healing & Wellness Center P.a.
Organization Active NPI Family Medicine Physician · Williamston, SC
NPI 1245301985 · NPPES record last updated Sep 2, 2026
Key facts
- NPI
- 1245301985
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 20856 (SC)
- Legal business name
- COMPLETE HEALING & WELLNESS CENTER P.A.
- Practice address
- 24 East Main St
Williamston, SC 29697 - Phone
- (864) 847-6020
- Fax
- (864) 847-6007
- NPI assigned
- Nov 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Jack D Wise Jr., DC
- Title
- President
- Phone
- (864) 847-6020
Practitioners 11
-
Carmen Brewington Ricketts, MSN, APRN, FNP-C
-
Jack D Wise Jr., DC
-
Candra Rich, FNP
-
Shelia Annette Sellman, AGACNP-BC
-
Deborah Lynne Yeargin, FNP-BC
-
Debra D Meece, TECHNICIAN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D1070881 | Complete Healing and Wellness Center | Provider-performed microscopy | Jul 11, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051010000163 | SC | Part B Supplier - Clinic/Group Practice | 8921023920 |
Receives reassigned benefits from 8 practitioners Practice locations: Williamston, SC |
National Provider Directory
Locations
24 E Main St
Williamston, SC 29697
Phone (864) 847-6020
26 E Main St
Williamston, SC 29697
Phone (864) 847-6020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 1743 | SC | |
| Chiropractor |
111N00000X | 1594 | SC | |
| Family Medicine Physician |
207Q00000X | 20856 | SC | Yes |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
24 East Main St
Williamston, SC 29697
Mailing address
24 East Main St
Williamston, SC 29697
Phone (864) 847-6020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH1594 | Medicaid | SC | |
| 208563 | Medicaid | SC | |
| CH1743 | Medicaid | SC |
Other providers in Williamston, SC
- Luz Brown
- Stephanie Brown
- Lisa Bryant
- Kevin Walter Burnham
- CBH of Anderson, Operating, LLC
- Sarah Nicole Roper Cornell
- Amanda Cowart
- Robin Crawford
- Andrew D'Agostino
- Jan Dawkins
All providers in Williamston, SC · Family Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.