Active NPI
Emily Leyrer Wall, PA
- Physician Assistant
- Cheraw, SC
National Provider Identifier
1497523609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5146
- Practice address
- 316 2ND St
Cheraw, SC 29520-2404 - Phone
- (843) 921-4851
- Fax
- (843) 921-4854
- NPI assigned
- Dec 18, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5146 | SC | Primary |
Addresses
Primary practice location
316 2ND St
Cheraw, SC 29520-2404
Mailing address
316 2ND St
Cheraw, SC 29520-2404
Phone (843) 921-4851
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Medical University of South Carolina College of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
316 2ND St
Cheraw, SC 29520-2404
Phone (843) 921-4851
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Cheraw, SC
- NPI 1932291242
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cheraw, SC
- NPI 1902283740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1497523609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 2ND ST",
"city": "CHERAW",
"state": "SC",
"postal_code": "295202404",
"telephone_number": "843-921-4851",
"fax_number": "843-921-4854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 2ND ST",
"city": "CHERAW",
"state": "SC",
"postal_code": "295202404",
"telephone_number": "843-921-4851",
"fax_number": "843-921-4854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALL",
"first_name": "EMILY",
"middle_name": "LEYRER",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-18",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "5146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheraw, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.