Individual provider Active NPI

Andrea Nicole Wininger, M.D.

  • Obstetrics & Gynecology Physician
  • Greenville, SC
National Provider Identifier
1720023146
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
24619 Issued in SC
Practice address
330C Pelham Rd Ste a
Greenville, SC 29615-3111
Phone
(864) 720-1299
Fax
(864) 720-1300
NPI assigned
Jun 19, 2006
Last updated
May 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 24619 SC Primary

Addresses

Primary practice location

330C Pelham Rd Ste a
Greenville, SC 29615-3111

Mailing address

330C Pelham Rd Ste a
Greenville, SC 29615-3111
Phone (864) 720-1299

Other identifiers 2

IdentifierTypeStateIssuer
AA10467111OtherSCMEDICARE PTAN
246193MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050912001099 SC Practitioner - Obstetrics/Gynecology 8022041920 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24619SCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ps121 Management PA Obstetrics & Gynecology CurrentSince Mar 11, 2021 Accepting new patients
Livingwell Integrative Healthcare Past Accepting new patients

Locations

330C Pelham Rd
#A
Greenville, SC 29615
Phone (864) 720-1299

Interoperability endpoints

  • Direct secure messaging: awininger87852@direct.ghs.myhfn.org

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1720023146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330C PELHAM RD STE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153111",
            "telephone_number": "864-720-1299",
            "fax_number": "864-720-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330C PELHAM RD STE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153111",
            "telephone_number": "864-720-1299",
            "fax_number": "864-720-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WININGER",
        "first_name": "ANDREA",
        "middle_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "24619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AA10467111",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "246193",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.