Individual provider Active NPI

Susanne Cochran Wise, PA

  • Physician Assistant
  • Spartanburg, SC
National Provider Identifier
1447449764
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-01093 Issued in NC
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

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071106000454 NC Practitioner - Physician Assistant 7012004161 Reassigns benefits to 9 organizations
I20260316001971 SC Practitioner - Physician Assistant 7012004161 Reassigns benefits to 3 organizations

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 CenterGroup PAC ID 3072425297, shared by 17 NPIs, 1,060 clinicians
Blue Ridge Community Health Services, Inc.Group PAC ID 3173434743, shared by 22 NPIs, 95 clinicians

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

LicenseStateTypeSpecialty
0010-01093NCMDPhysician Assistant
4849SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Community Health Services, Inc CurrentSince Feb 5, 2024 Accepting new patients
Blue Ridge Community Health Services, Inc. Current Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince Feb 5, 2024 Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince Feb 5, 2024 Accepting new patients
Blue Ridge Community Health Services, Inc CurrentSince Feb 5, 2024 Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince Feb 5, 2024 Accepting new patients
Blue Ridge Community Health Services Inc CurrentSince Feb 5, 2024 Accepting new patients
Blue Ridge Community Health Services Inc. CurrentSince Feb 5, 2024 Accepting new patients
Blue Ridge Community Health Services Inc Current Accepting new patients
Blue Ridge Community Health Services, Inc CurrentSince Feb 5, 2024 Accepting new patients
Blue Ridge Community Health Services Inc CurrentSince Feb 5, 2024 Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince Feb 5, 2024 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

  • Direct secure messaging: susanne.wise.1@21884.direct.athenahealth.com
  • Direct secure messaging: swise189856@direct-srhs.et0939.epichosted.com
  • Direct secure messaging: 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.

View all 15

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.