Individual provider Active NPI

Hailey L Wehner, PA-C

  • Physician Assistant
  • Goose Creek, SC
National Provider Identifier
1326756461
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4636 Issued in SC
Practice address
7 S Alliance Dr Ste 211B
Goose Creek, SC 29445-7297
Phone
(843) 553-4383
Fax
(843) 553-4384
NPI assigned
Nov 8, 2022
Last updated
Nov 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4636 SC Primary

Addresses

Primary practice location

7 S Alliance Dr Ste 211B
Goose Creek, SC 29445-7297

Mailing address

7 S Alliance Dr Ste 211B
Goose Creek, SC 29445-7297
Phone (843) 553-4383

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
I20221123000271 SC Practitioner - Physician Assistant 0244608230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1401 Main St
Bonneau, SC 29431-5013
Phone (843) 695-6071

7 S Alliance Dr
Goose Creek, SC 29445-7269

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4636SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC CurrentSince Nov 14, 2022 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Nov 14, 2022 Accepting new patients
Whole Heart Family Medicine Past Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

7 S Alliance Dr
Ste 211B
Goose Creek, SC 29445
Phone (843) 553-4383

Interoperability endpoints

  • Direct secure messaging: hailey.wehner.1@20655.direct.athenahealth.com
  • Direct secure messaging: hailey.wehner@ppcp1.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/20655/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 1

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": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1326756461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 S ALLIANCE DR STE 211B",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294457297",
            "telephone_number": "843-553-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 S ALLIANCE DR STE 211B",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294457297",
            "telephone_number": "843-553-4383",
            "fax_number": "843-553-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEHNER",
        "first_name": "HAILEY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

Verify at the official NPI Registry.