Active NPI
Willie James Wheat II, PTA/TECH
- Other Specialist/Technologist
- Columbia, SC
National Provider Identifier
1548130347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- Practice address
- 4500 8TH Division Rd
Columbia, SC 29207-5700 - Phone
- (803) 751-3021
- NPI assigned
- Nov 6, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | Primary |
Addresses
Primary practice location
4500 8TH Division Rd
Columbia, SC 29207-5700
Mailing address
533 Buckhaven Way
Columbia, SC 29229-8385
Phone (785) 717-5644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1548130347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 BUCKHAVEN WAY",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292298385",
"telephone_number": "785-717-5644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 8TH DIVISION RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292075700",
"telephone_number": "803-751-3021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEAT",
"first_name": "WILLIE",
"middle_name": "JAMES",
"name_suffix": "II",
"credential": "PTA/TECH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-11-06",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.