NPIMap

Individual provider Active NPI

Lane A Wilner, MD

  • Internal Medicine Physician
  • Florence, SC
National Provider Identifier
1306895354
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19078 Issued in SC
Practice address
2501 S Vance Dr
Florence, SC 29505-6163
Phone
(843) 665-1280
Fax
(843) 679-4246
NPI assigned
May 8, 2006
Last updated
Dec 16, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19078 SC Primary

Addresses

Primary practice location

2501 S Vance Dr
Florence, SC 29505-6163

Mailing address

2501 S Vance Dr
Florence, SC 29505-6163
Phone (843) 665-1280

Other identifiers 2

IdentifierTypeStateIssuer
571108959OtherSCFEDERAL TAX ID
GP3084MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100210000342 SC Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Geriatric Medicine 5294878450 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Geriatric Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Loris Seacoast HospitalGroup PAC ID 9133394398, 57 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

101 McLeod Health Blvd
Suite 201
Myrtle Beach, SC 29579-4477
Phone (843) 646-8001

3655 Mitchell St
Loris, SC 29569-2827
Phone (843) 716-7111

4000 Hwy 9 E
Little River, SC 29566-7833
Phone (843) 390-8100

805 Pamplico Hwy
Florence, SC 29505-6047
Phone (843) 674-2500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19078FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Hospitalist Services PC Internal Medicine CurrentSince Dec 1, 2019 Accepting new patients
Carolina Family Care, Inc CurrentSince Jan 14, 2021 Accepting new patients
Musc Community Physicians CurrentSince Jan 30, 2022 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Jul 26, 2022 Accepting new patients
Carolina Family Care, Inc Internal Medicine CurrentSince Jan 14, 2021 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Jul 26, 2022 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Jun 20, 2015 Accepting new patients
Musc Community Physicians Internal Medicine CurrentSince Jan 30, 2022 Accepting new patients
McLeod Loris Seacoast Hospital Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

501 Robertson Blvd
Walterboro, SC 29488
Phone (843) 549-2000

Interoperability endpoints

  • Direct secure messaging: lwilner32268@directmcleodehealth.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1306895354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 S VANCE DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056163",
            "telephone_number": "843-665-1280",
            "fax_number": "843-679-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 S VANCE DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056163",
            "telephone_number": "843-665-1280",
            "fax_number": "843-679-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILNER",
        "first_name": "LANE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "19078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "571108959",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3084",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.