Active NPI
Hiwot Paulos
- Private Vehicle
- Indian Land, SC
National Provider Identifier
1376343533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- License
- 9774SF
- Practice address
- 8310 Hibiscus LN
Indian Land, SC 29707-5022 - Phone
- (404) 374-1068
- NPI assigned
- Mar 17, 2025
- Last updated
- Mar 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | 9774SF | SC | Primary |
Addresses
Primary practice location
8310 Hibiscus LN
Indian Land, SC 29707-5022
Mailing address
5222 Old Hickory Road
Suite 19
Van Wyck, SC 29744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9774SF | SC | MD | Private Vehicle |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1376343533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5222 OLD HICKORY ROAD",
"address_2": "SUITE 19",
"city": "VAN WYCK",
"state": "SC",
"postal_code": "29744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8310 HIBISCUS LN",
"city": "INDIAN LAND",
"state": "SC",
"postal_code": "297075022",
"telephone_number": "404-374-1068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULOS",
"first_name": "HIWOT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-17",
"last_updated": "2025-03-17",
"certification_date": "2025-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "SC",
"license": "9774SF",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indian Land, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.