Individual provider Active NPI

Marylouise Schultz Wise, DC

  • Chiropractor
  • Williamston, SC
National Provider Identifier
1578634218
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1594 Issued in SC
Practice address
24 East Main St
Williamston, SC 29697
Phone
(864) 847-6020
Fax
(864) 847-6007
NPI assigned
Nov 13, 2006
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1594 SC Primary

Addresses

Primary practice location

24 East Main St
Williamston, SC 29697

Mailing address

24 East Main St
Williamston, SC 29697
Phone (864) 847-6020

Other identifiers 1

IdentifierTypeStateIssuer
CH1594MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101108001141 SC Practitioner - Chiropractic 3274733100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Healing and Wellness Center P.a.Group PAC ID 8921023920, 5 clinicians

Practice addresses (Care Compare)

24 E Main St
Williamston, SC 29697-1925
Phone 8648476020209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1594SCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Healing & Wellness Center P.a. Chiropractor CurrentSince Oct 4, 2010 Accepting new patients
Ahmed Medical Corporation Current Accepting new patients

Locations

24 E Main St
Williamston, SC 29697
Phone (864) 847-6020

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1578634218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 EAST MAIN ST",
            "city": "WILLIAMSTON",
            "state": "SC",
            "postal_code": "29697",
            "telephone_number": "864-847-6020",
            "fax_number": "864-847-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 EAST MAIN ST",
            "city": "WILLIAMSTON",
            "state": "SC",
            "postal_code": "29697",
            "telephone_number": "864-847-6020",
            "fax_number": "864-847-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "MARYLOUISE",
        "middle_name": "SCHULTZ",
        "name_prefix": "Mrs.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH1594",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.