Meredith Way Wawner, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

0010-00699 Issued in NC

Practice address

1600 Medical Dr
Laurinburg, NC 28352-5524

Phone

(910) 277-9164

Fax

(910) 277-9189

NPI assigned

Nov 21, 2006

Last updated

Nov 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Scotland Regional Health Network

  dba Carolinas Hospitalist Group - Scotland

  • Hospitalist Physician
  • Laurinburg, NC
  • NPI 1972829562
  Medicare reassignment
• Scotland Regional Health Network

  dba Scotland Surgical and GI Associates

  • Surgical Critical Care Physician
  • Laurinburg, NC
  • NPI 1164726105
  NPD
• Scotland Regional Health Network

  dba Scotland Surgical and GI Associates

  • Surgery Physician
  • Pembroke, NC
  • NPI 1891135067
  NPD
• Scotland Regional Health Network

  dba Scotland Surgical and GI Associates

  • Surgery Physician
  • Bennettsville, SC
  • NPI 1942962113
  NPD
• Bluewater Surgical, PLLC

  • Surgery Physician
  • Wilmington, NC
  • NPI 1235895137
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1578638110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL DR",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525524",
            "telephone_number": "910-277-9164",
            "fax_number": "910-277-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL DR",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525524",
            "telephone_number": "910-277-9164",
            "fax_number": "910-277-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAWNER",
        "first_name": "MEREDITH",
        "middle_name": "WAY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "0010-00699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST PROVIDER NUMBER",
            "identifier": "196360",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578638110",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2370PA",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE NUMBER",
            "identifier": "2755674",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Rite Aid)
• Walgreen Co (Walgreens #17407)
• Mary Ashlyn Warren
• Heather Elaine Watkins, AGPCNP
• Moses Watson III, DDS
• Lauren Weaver, OTR/L
• Tyson Koenig Weight
• Samantha Welsh, PA-C
• Wendy K. Britt, DDS, PLLC
• Charles James Wentz Jr., MA, LCMHCS, LPC

• Surgical Physician Assistant in Laurinburg, NC
• Providers in Laurinburg, NC by specialty
• Surgical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.