NPIMap

Individual provider Active NPI

Meridith Maxwell Womick, M.D.

  • Emergency Medicine Physician
  • Fort Mill, SC
National Provider Identifier
1407083165
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
36404 Issued in SC
Practice address
515 River Crossing Dr
Ste 180
Fort Mill, SC 29715-7900
Phone
(803) 578-2800
Fax
(803) 578-2810
NPI assigned
Jun 19, 2009
Sex
Female
Sole proprietor
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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35.098200 OH
Emergency Medicine Physician 207P00000X 36404 SC Primary

Addresses

Primary practice location

515 River Crossing Dr
Ste 180
Fort Mill, SC 29715-7900

Mailing address

515 River Crossing Dr
Ste 180
Fort Mill, SC 29715-7900
Phone (803) 578-2800

Other identifiers 1

IdentifierTypeStateIssuer
NC1668MedicaidSC

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.098200OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Ohio Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Piedmont Physician Network LLC Emergency Medicine PastSince Feb 25, 2014 Accepting new patients
Noes/Paulding, LTD Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Gaston County, PLLC Emergency Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mwomick@ccmgclinics.gwaydirect.com
  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1407083165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 RIVER CROSSING DR",
            "address_2": "STE 180",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297157900",
            "telephone_number": "803-578-2800",
            "fax_number": "803-578-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 RIVER CROSSING DR",
            "address_2": "STE 180",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297157900",
            "telephone_number": "803-578-2800",
            "fax_number": "803-578-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMICK",
        "first_name": "MERIDITH",
        "middle_name": "MAXWELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-19",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.098200",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "36404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC1668",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.