Active NPI
Sallie P Wadford, MCD
- Speech-Language Pathologist
- Andrews, SC
National Provider Identifier
1649457573
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Apr 19, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3620
- Practice address
- 802 Country Club Rd
Andrews, SC 29510-5144 - Phone
- (843) 221-7433
- NPI assigned
- Jan 22, 2008
- Last updated
- Jan 30, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3620 | SC | Primary |
Addresses
Primary practice location
802 Country Club Rd
Andrews, SC 29510-5144
Mailing address
802 Country Club Rd
Andrews, SC 29510-5144
Phone (843) 221-7433
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3620 | SC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201651200000",
"number": "1649457573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 COUNTRY CLUB RD",
"city": "ANDREWS",
"state": "SC",
"postal_code": "295105144",
"telephone_number": "843-221-7433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 COUNTRY CLUB RD",
"city": "ANDREWS",
"state": "SC",
"postal_code": "295105144",
"telephone_number": "843-221-7433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADFORD",
"first_name": "SALLIE",
"middle_name": "P",
"credential": "MCD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-22",
"last_updated": "2008-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "3620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Andrews, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.