Nancy Hart Wicker, MD
Individual provider Active NPI Hospice and Palliative Medicine (Family Medicine) Physician · Greenwood, SC
NPI 1487973780 · NPPES record last updated Dec 1, 2022
Key facts
- NPI
- 1487973780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X
- License
- 32603 (SC)
- Practice address
- 408 W Alexander Ave
Greenwood, SC 29646-4031 - Phone
- (864) 227-9393
- Fax
- (864) 227-9377
- NPI assigned
- May 26, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 5
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Hospice/Palliative Care
- Education
- Medical University of South Carolina College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospice and Palliative Care of the Piedmont Inc
Practice addresses (Care Compare)
408 W Alexander Ave
Greenwood, SC 29646-4031
Phone (864) 889-0420
Hospital & facility affiliations
- Hospice and Palliative Care of the Piedmont
- Self Regional Healthcare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Hospice and Palliative Care of the Piedmont Inc |
Hospice | W-2 Managing Employee | Sep 6, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110712000456 | SC | Practitioner - Hospice/Palliative Care |
5092983312 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospicecare of the Piedmont, Inc. | Current |
Accepting new patients | |
| Hospice and Palliative Care of the Piedmont Inc | Hospice and Palliative Medicine | Current |
Accepting new patients |
| Self Medical Group | Past |
Accepting new patients |
Locations
1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111
408 W Alexander Ave
Greenwood, SC 29646
Phone (864) 227-9393
Interoperability endpoints
- nwicker127141@selfregional.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 32603 | SC | Yes |
Addresses
Primary practice location
408 W Alexander Ave
Greenwood, SC 29646-4031
Mailing address
408 W Alexander Ave
Greenwood, SC 29646-4031
Phone (864) 227-9393
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 326034 | Medicaid | SC |
Other names
- Nancy Hart Deal
NPI Registry JSON
{
"created_epoch": "1274832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669852800000",
"number": "1487973780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 W ALEXANDER AVE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296464031",
"telephone_number": "864-227-9393",
"fax_number": "864-227-9377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 W ALEXANDER AVE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296464031",
"telephone_number": "864-227-9393",
"fax_number": "864-227-9377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICKER",
"first_name": "NANCY",
"middle_name": "HART",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-26",
"last_updated": "2022-12-01",
"certification_date": "2022-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "SC",
"license": "32603",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "326034",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "DEAL",
"middle_name": "HART",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.