NPIMap

Individual provider Active NPI

Nancy Hart Wicker, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Greenwood, SC
National Provider Identifier
1487973780
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
32603 Issued in SC
Practice address
408 W Alexander Ave
Greenwood, SC 29646-4031
Phone
(864) 227-9393
Fax
(864) 227-9377
NPI assigned
May 26, 2010
Last updated
Dec 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 32603 SC Primary

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 1

IdentifierTypeStateIssuer
326034MedicaidSC

Other names 1

  • Nancy Hart Deal Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110712000456 SC Practitioner - Hospice/Palliative CarePractitioner - Family PracticePractitioner - Emergency Medicine 5092983312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Family Practice
Education
Medical University of South Carolina College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

408 W Alexander Ave
Greenwood, SC 29646-4031
Phone (864) 889-0420

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice and Palliative Care of the Piedmont Inc Hospice and Palliative Medicine CurrentSince Dec 1, 2022 Accepting new patients
Hospicecare of the Piedmont, Inc. CurrentSince Dec 1, 2022 Accepting new patients
Self Medical Group PastSince May 7, 2024 Accepting new patients

Locations

408 W Alexander Ave
Greenwood, SC 29646
Phone (864) 227-9393

Interoperability endpoints

  • Direct secure messaging: nwicker127141@selfregional.direct-ci.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice and Palliative Care of the Piedmont IncGreenwood, SC, CCN 421507 Hospice W-2 Managing Employee Sep 6, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "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"
        }
    ]
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.