Individual provider Active NPI

Kaylene D Weircox, M.D.

  • Surgery Physician
  • Columbia, SC
National Provider Identifier
1396710166
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
26856 Issued in SC
Practice address
3019 Farrow Rd
Columbia, SC 29203-7001
Phone
(803) 779-3222
Fax
(803) 779-3223
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 26856 SC Primary

Addresses

Primary practice location

3019 Farrow Rd
Columbia, SC 29203-7001

Mailing address

PO Box 62
Columbia, SC 29202-0062
Phone (803) 779-3222

Other identifiers 1

IdentifierTypeStateIssuer
268560MedicaidSC

Other names 1

  • Kaylene Weir Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040928000864 SC Practitioner - General Surgery 2062481906 Reassigns benefits to 3 organizations
I20120210000714 NC Practitioner - General Surgery 2062481906 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26856SCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group Current Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Dec 1, 2018 Accepting new patients
Greenville Health System CurrentSince Apr 8, 2015 Accepting new patients
McLeod Physician Associates II CurrentSince Oct 1, 2016 Accepting new patients
McLeod Physician Associates II Surgery CurrentSince Oct 1, 2016 Accepting new patients
DHP of North Carolina PC Surgery CurrentSince Apr 5, 2017 Accepting new patients
Prisma Health University Medical Group CurrentSince Apr 8, 2015 Accepting new patients
Greenville Health System Current Accepting new patients
Greenville Health System CurrentSince Apr 8, 2015 Accepting new patients
Mission Health Community Multispecialty Providers, LLC Current Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Dec 1, 2018 Accepting new patients
GHS Partners in Health, Inc. Surgery CurrentSince Apr 8, 2015 Accepting new patients
East Coast Wound Care P C Past Accepting new patients
East Coast Wound Care, P.C. Past Accepting new patients
Greater Columbia Internal Medicine Past Accepting new patients
Surgical Services of Columbia, LLC Surgery Past Accepting new patients
Bladen Healthcare LLC Past Accepting new patients

Locations

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

56 Medical Park Dr
Franklin, NC 28734
Phone (828) 349-8280

190 Riverview St
Franklin, NC 28734
Phone (828) 349-6800

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

721 S Doctors Dr
Cheraw, SC 29520
Phone (843) 320-9086

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

506 E Cheves St
#202
Florence, SC 29506

10110 Clemson Blvd
Seneca, SC 29678
Phone (864) 482-0500

298 Memorial Dr
Seneca, SC 29672
Phone (864) 482-3100

Interoperability endpoints

  • Direct secure messaging: kaylene.weircox@avera.sdhealthlink.net
  • Direct secure messaging: kweircox32022@directmcleodehealth.org

Organizations & group practices 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1396710166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292020062",
            "telephone_number": "803-779-3222",
            "fax_number": "803-779-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 FARROW RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292037001",
            "telephone_number": "803-779-3222",
            "fax_number": "803-779-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIRCOX",
        "first_name": "KAYLENE",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "26856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268560",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLENE",
            "last_name": "WEIR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.