Active NPI
Susanne Cochran Wise, PA
- Physician Assistant
- Spartanburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-01093
- Practice address
- 1650 Skylyn Dr Ste 120
Spartanburg, SC 29307-1069 - Phone
- (864) 216-4525
- Fax
- (864) 216-4514
- NPI assigned
- Oct 23, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4849 | SC | |
| Physician Assistant | 363A00000X | 0010-01093 | NC | Primary |
Addresses
Primary practice location
1650 Skylyn Dr Ste 120
Spartanburg, SC 29307-1069
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | swise189856@direct-srhs.et0939.epichosted.com | Direct | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Spartanburg Medical CenterBlue Ridge Community Health Services, Inc.
Practice addresses (Care Compare)
133 N Howard Ave
Landrum, SC 29356-1507
Phone (864) 457-3838
146 Nesbitt RDG
Lake Lure, NC 28746-0057
Phone (828) 625-4400
161 Walker St
Columbus, NC 28722-9433
Phone (828) 894-2222
1650 Skylyn Dr
Suite 120
Spartanburg, SC 29307-1069
Phone (864) 216-4525
2755 S Hwy 14
Suite 1200L
Greer, SC 29650-4902
Phone (864) 849-9150
29 W French Broad St
Suite 202
Brevard, NC 28712-4773
Phone (828) 883-5550
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-01093 | NC | MD | Physician Assistant |
| 4849 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Community Health Services, Inc | Current | Accepting new patients | |
| Blue Ridge Community Health Services, Inc. | Current | Accepting new patients | |
| Blue Ridge Community Health Services, Inc. | Current | Accepting new patients | |
| Blue Ridge Community Health Services, Inc. | Current | Accepting new patients | |
| Blue Ridge Community Health Services, Inc | Current | Accepting new patients | |
| Blue Ridge Community Health Services, Inc. | Current | Accepting new patients | |
| Blue Ridge Community Health Services Inc | Current | Accepting new patients | |
| Blue Ridge Community Health Services Inc. | Current | Accepting new patients | |
| Blue Ridge Community Health Services Inc | Current | Accepting new patients | |
| Blue Ridge Community Health Services, Inc | Current | Accepting new patients | |
| Blue Ridge Community Health Services Inc | Current | Accepting new patients | |
| Blue Ridge Community Health Services, Inc. | Current | Accepting new patients |
Locations
303 Airport Rd
Arden, NC 28704
Phone (828) 698-2979
69 N Broad St
Brevard, NC 28712
Phone (828) 883-2708
29 W French Broad St
Ste 202
Brevard, NC 28712
Phone (828) 883-5550
264 Highway 19 S
Ste 4
Bryson City, NC 28713
Phone (828) 341-1060
490 Hospital Dr
Clyde, NC 28721
Phone (828) 213-9729
161 Walker St
Columbus, NC 28722
Phone (828) 894-2222
674 Highlands Rd
Franklin, NC 28734
Phone (828) 349-0001
628 7th Ave E
Hendersonvlle, NC 28792
Phone (828) 696-8263
709 N Justice St
Ste B
Hendersonvlle, NC 28791
Phone (828) 696-1255
209 Hospital Dr
Highlands, NC 28741
Phone (828) 482-6160
187 W Main St
Spindale, NC 28160
Phone (828) 288-2881
44 Bonnie Ln
Sylva, NC 28779
Phone (828) 339-3999
293 Hospital Rd
Ste B
Sylva, NC 28779
Phone (828) 631-8711
293 Hospital Rd
Sylva, NC 28779
Phone (828) 477-4334
307 Broadview Rd
Waynesville, NC 28786
Phone (828) 452-9258
131 Walnut St
Waynesville, NC 28786
Phone (828) 456-8604
Interoperability endpoints
- susanne.wise.1@21884.direct.athenahealth.com
- swise189856@direct-srhs.et0939.epichosted.com
- swise310823@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 15
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.
-
dba Blue Ridge Health-Highlands Cashiers
- Federally Qualified Health Center (FQHC)
- Highlands, NC
- NPI 1437725041
-
dba Blue Ridge Health-Givens Gerber
- Federally Qualified Health Center (FQHC)
- Asheville, NC
- NPI 1679137558
-
dba Haywood Health Center
- Federally Qualified Health Center (FQHC)
- Clyde, NC
- NPI 1407200264
-
dba 7th Avenue Health Center
- Federally Qualified Health Center (FQHC)
- Hendersonville, NC
- NPI 1801261391
-
dba Sylva Health Center
- Federally Qualified Health Center (FQHC)
- Sylva, NC
- NPI 1881130540
-
dba Blue Ridge Health-Swain
- Federally Qualified Health Center (FQHC)
- Bryson City, NC
- NPI 1124668868
-
dba Blue Ridge Community Health Services
- Federally Qualified Health Center (FQHC)
- Hendersonville, NC
- NPI 1225029051
-
dba Hendersonville Family Health Center
- Federally Qualified Health Center (FQHC)
- Hendersonville, NC
- NPI 1437593787
-
dba Polk Health Center
- Federally Qualified Health Center (FQHC)
- Columbus, NC
- NPI 1750757803
-
dba Medical Group of the Carolinas - Spineand Pain Management - NorthGrove
- Neuromusculoskeletal Medicine & OMM Physician
- Spartanburg, SC
- NPI 1043309917
-
dba Medical Group of the Carolinas - Emergency Medicine
- Emergency Medicine Physician
- Spartanburg, SC
- NPI 1699729939
-
dba Medical Group of the Carolinas-Vascular Access Surgery-Pelham
- Surgery Physician
- Greer, SC
- NPI 1760114664
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba PMC Center for Urology Pelham
- Pain Medicine Physician
- Greer, SC
- NPI 1942960844
Hospital
-
- General Acute Care Hospital
- Greer, SC
- NPI 1982800397
-
dba Spartanburg Medical Center- Psychiatric Unit
- Psychiatric Hospital Unit
- Spartanburg, SC
- NPI 1033681630
-
- General Acute Care Hospital
- Spartanburg, SC
- NPI 1609807122
-
dba Spartanburg Medical Center-Center for Rehabilitative Medicine
- Rehabilitation Hospital Unit
- Spartanburg, SC
- NPI 1942772546
-
dba Rutherford Regional Health System
- General Acute Care Hospital
- Rutherfordton, NC
- NPI 1245321181
-
dba Margaret R. Pardee Memorial Hospital
- General Acute Care Hospital
- Hendersonville, NC
- NPI 1144247982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1447449764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 SKYLYN DR STE 120",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293071069",
"telephone_number": "864-216-4525",
"fax_number": "864-216-4514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISE",
"first_name": "SUSANNE",
"middle_name": "COCHRAN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-23",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "4849",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-01093",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "swise189856@direct-srhs.et0939.epichosted.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "swise189856@direct-srhs.et0939.epichosted.com",
"address_1": "1650 Skylyn Dr Ste 120",
"city": "Spartanburg",
"state": "SC",
"country_code": "US",
"postal_code": "293071069",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.