Gordon Beale Wilhoit, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35955 Issued in SC

Practice address

2061 Highway 52
Moncks Corner, SC 29461-5017

Phone

(843) 761-8800

Fax

(843) 761-8824

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1306871496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 HWY 52",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "29461",
            "telephone_number": "843-761-8800",
            "fax_number": "843-761-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 HIGHWAY 52",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294615017",
            "telephone_number": "843-761-8800",
            "fax_number": "843-761-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILHOIT",
        "first_name": "GORDON",
        "middle_name": "BEALE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "10575",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "35955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA2416",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley White, CACP
• Kailaan Jael White
• Crystal S Wigfall
• Leigh N Wildt, LMSW
• Heather M Wilhelm, LPC, CAC1
• Christina Taylor Wilkins
• William a. Gilliard DMD LLC
• Annalily B Williams, PMHNP
• Christopher Williams, LPCS, NCC
• Donna Williams

• Family Medicine Physician in Moncks Corner, SC
• Providers in Moncks Corner, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.