Active NPI
Candace Wilson, APRN
- Family Nurse Practitioner
- West Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 19152
- Practice address
- 1053 Center Street
SC House Calls Inc
West Columbia, SC 29169 - Phone
- (800) 491-0909
- NPI assigned
- Oct 27, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 19152 | SC | Primary |
Addresses
Primary practice location
1053 Center Street
SC House Calls Inc
West Columbia, SC 29169
Mailing address
1053 Center Street
SC House Calls Inc
West Columbia, SC 29169
Phone (800) 491-0909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP3413 | Medicaid | SC |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19152 | SC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anmed Health | Current | Accepting new patients | |
| Anmed Health | Current | Accepting new patients | |
| SC House Calls Inc | Current | Accepting new patients | |
| Anmed Health | Current | Accepting new patients | |
| SC House Calls Inc | Current | Accepting new patients |
Locations
2000 E Greenville St
Anderson, SC 29621
Phone (864) 512-1000
2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131
1624 Main St
Columbia, SC 29201
Phone (803) 454-0365
1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Anderson, SC
- NPI 1639102270
-
- Family Medicine Physician
- Columbia, SC
- NPI 1518048859
-
- Family Medicine Physician
- Piedmont, SC
- NPI 1255137832
-
- Hematology & Oncology Physician
- Anderson, SC
- NPI 1881093433
-
- Oxygen Equipment & Supplies (DME)
- Columbia, SC
- NPI 1073201711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623715200000",
"number": "1417352915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1053 CENTER STREET",
"address_2": "SC HOUSE CALLS INC",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "29169",
"telephone_number": "800-491-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1053 CENTER STREET",
"address_2": "SC HOUSE CALLS INC",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "29169",
"telephone_number": "800-491-0909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "CANDACE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-27",
"last_updated": "2021-06-15",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "19152",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP3413",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.