Individual provider Active NPI

Wilhelmenia Miesha Patterson, PA

  • Physician Assistant
  • Florence, SC
National Provider Identifier
1467019018
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3227 Issued in SC
Practice address
600 E Palmetto St
Florence, SC 29506-2851
Phone
(843) 667-9414
NPI assigned
May 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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 TL3227 SC
Physician Assistant 363A00000X 3227 SC Primary

Addresses

Primary practice location

600 E Palmetto St
Florence, SC 29506-2851

Mailing address

360 N Irby St
Florence, SC 29501-2808
Phone (843) 667-9414

Other practice location 1

441 N Main St
Sumter, SC 29150-4232
Phone (803) 775-5080

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190722001116 SC Practitioner - Physician Assistant 0042546533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hopehealth, Inc.Group PAC ID 4082510623, shared by 23 NPIs, 77 clinicians

Practice addresses (Care Compare)

360 N Irby St
Florence, SC 29501-2808
Phone (843) 667-9414

600 E Palmetto St
Florence, SC 29506-2851
Phone (843) 667-9414

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3227SCMDOrthopedic Physical Therapist
TL3227SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hopehealth Inc CurrentSince Jul 8, 2024 Accepting new patients
Hopehealth, Inc CurrentSince Jul 8, 2024 Accepting new patients
Hopehealth Inc Past Accepting new patients

Locations

600 E Palmetto St
Florence, SC 29506
Phone (843) 656-0390

360 N Irby St
Florence, SC 29501
Phone (843) 656-0353

Organizations & group practices 3

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": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1467019018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N IRBY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295012808",
            "telephone_number": "843-667-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062851",
            "telephone_number": "843-667-9414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "441 N Main St",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291504232",
            "country_code": "US",
            "telephone_number": "803-775-5080",
            "fax_number": "803-773-6256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "WILHELMENIA",
        "middle_name": "MIESHA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "TL3227",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "3227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.