Individual provider Active NPI

Cameron Hewlett Wynn, MD

  • Emergency Medicine Physician
  • Columbia, SC
National Provider Identifier
1700226602
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
LL35954 Issued in SC
Practice address
14 Med Park Ste 350
Emergency Medicine
Columbia, SC 29203
Phone
(803) 434-3790
Fax
(803) 434-3946
NPI assigned
Jun 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 308447 LA
Emergency Medicine Physician 207P00000X LL35954 SC Primary

Addresses

Primary practice location

14 Med Park Ste 350
Emergency Medicine
Columbia, SC 29203

Mailing address

14 Med Park Ste 350
Emergency Medicine
Columbia, SC 29203
Phone (803) 434-3790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TX, LA, WV4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20160622000455 SC Practitioner - Emergency Medicine 6002107059 Reassigns benefits to 4 organizations
I20160829000586 TX Practitioner - Emergency Medicine 6002107059 Reassigns benefits to 1 organization
I20180802002427 LA Practitioner - Emergency Medicine 6002107059 Reassigns benefits to 2 organizations
I20241230001177 WV Practitioner - Emergency Medicine 6002107059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acs Primary Care Physicians - Southeast PCGroup PAC ID 5193620714, 409 clinicians

Practice addresses (Care Compare)

222 S Herlong Ave
Rock Hill, SC 29732-1158
Phone (803) 329-1234

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
308447LAMDEmergency Medicine Physician
LL35954SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center Inc CurrentSince Dec 1, 2024 Accepting new patients
Sound Physicians Emergency Medicine of South Carolina LLC Emergency Medicine CurrentSince Nov 29, 2018 Accepting new patients
Carolina Family Care, Inc CurrentSince Sep 10, 2020 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince Jul 23, 2018 Accepting new patients
Carolina Family Care, Inc Emergency Medicine CurrentSince Sep 10, 2020 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
McLeod Health Cheraw CurrentSince Apr 11, 2016 Accepting new patients
Ochsner Clinic LLC CurrentSince Jul 23, 2018 Accepting new patients
McLeod Health Cheraw Emergency Medicine CurrentSince Apr 11, 2016 Accepting new patients
Belle Chasse Emergency Group LLC Emergency Medicine CurrentSince Jul 9, 2018 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Bluff Creek Emergency Medicine Associates, PA Emergency Medicine CurrentSince Apr 1, 2018 Accepting new patients

Locations

1514 Jefferson Hwy
New Orleans, LA 70121

2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

11380 Gateway Blvd N
Ste 105
El Paso, TX 79934
Phone (915) 577-8100

400 Association Dr
Ste 102
Charleston, WV 25311
Phone (304) 388-1762

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

Interoperability endpoints

  • Direct secure messaging: cwynn92822@directmcleodehealth.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1700226602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MED PARK STE 350",
            "address_2": "EMERGENCY MEDICINE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-434-3790",
            "fax_number": "803-434-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MED PARK STE 350",
            "address_2": "EMERGENCY MEDICINE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-434-3790",
            "fax_number": "803-434-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNN",
        "first_name": "CAMERON",
        "middle_name": "HEWLETT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "308447",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "LL35954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.