Organization Active NPI

Winning Health Wellness LLC

  • Sports Medicine (Family Medicine) Physician
  • Mount Pleasant, SC
National Provider Identifier
1366869190
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
WINNING HEALTH WELLNESS LLC
Practice address
966 Houston Northcutt Blvd
Mount Pleasant, SC 29464-3487
Phone
(843) 471-0375
NPI assigned
Mar 18, 2014
Last updated
Mar 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Dr. Andrew J McMarlinNPI 1497719355
Title
D.O
Phone
(843) 471-0375

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X NU Primary

Addresses

Primary practice location

966 Houston Northcutt Blvd
Mount Pleasant, SC 29464-3487

Mailing address

966 Houston Northcutt Blvd
Mount Pleasant, SC 29464-3487
Phone (843) 471-0375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140519001168 SC Part B Supplier - Clinic/Group Practice 4082837117 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Pleasant, SC

National Provider Directory

National Provider Directory

Member organizations 12

Organizations listed as members of this organization in the National Provider Directory.

Locations

966 Houston Northcutt Blvd
Mt Pleasant, SC 29464
Phone (843) 471-0375

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22640/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1366869190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 HOUSTON NORTHCUTT BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643487",
            "telephone_number": "843-471-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 HOUSTON NORTHCUTT BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643487",
            "telephone_number": "843-471-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINNING HEALTH WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "MCMARLIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "D.O",
        "authorized_official_telephone_number": "843-471-0375",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.