Timothy Wenn, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

14742 Issued in SC

Practice address

1190 Filbert Hwy Ste 110
York, SC 29745-9324

Phone

(803) 628-0004

Fax

(803) 628-6004

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NC, SC2 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 2

Specialty

Emergency MedicineAlso: Internal Medicine

Education

Wayne State University School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Afc Urgent Care and Family Care of WNC PLLCGroup PAC ID 2567713332, 75 clinicians

Matrix Occupational Health PCGroup PAC ID 2365350220, 42 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.26 of 100Reported as group

Quality

84.96

Promoting interoperability

100

Improvement activities

40

Cost

72.58

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Afc Urgent Care and Family Care of WNC, PLLC

  • Urgent Care Clinic/Center
  • Charlotte, NC
  • NPI 1679066658
  Medicare reassignment Care Compare group NPD
• Matrix Occupational Health P.C.

  • Urgent Care Clinic/Center
  • Fayetteville, NC
  • NPI 1144279670

  Emergency Medicine

  Medicare reassignment Care Compare group NPD
• Lexington Health Inc

  • Sports Medicine (Orthopaedic Surgery) Physician
  • West Columbia, SC
  • NPI 1710634753

  Family Medicine

  Medicare reassignment NPD
• Lexington Health Inc

  • Urgent Care Clinic/Center
  • Lexington, SC
  • NPI 1114525250
  NPD
• Lexington Health Inc

  • Internal Medicine Physician
  • West Columbia, SC
  • NPI 1942190988
  NPD
• Mdcarolina, PA

  • General Practice Physician
  • York, SC
  • NPI 1942301544

  Emergency Medicine

  NPD (past)
• Rowan Urgent Care, PC

  • Family Medicine Physician
  • Salisbury, NC
  • NPI 1902183031
  NPD (past)
• Rutherford Emergency Medicine PA

  • Emergency Medicine Physician
  • Rutherfordton, NC
  • NPI 1700801636
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1730131137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532664",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303532664",
            "telephone_number": "904-805-1300",
            "fax_number": "904-805-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 FILBERT HWY STE 110",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297459324",
            "telephone_number": "803-628-0004",
            "fax_number": "803-628-6004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 Earl Rd",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281506700",
            "country_code": "US",
            "telephone_number": "904-805-1300",
            "fax_number": "904-805-1302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3016 Longtown Commons Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292297862",
            "country_code": "US",
            "telephone_number": "803-314-0500",
            "fax_number": "803-314-0501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENN",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "27103",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "27103",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "14742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "12947",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147424",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00125486",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912947",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frankie Lynn Wanger, LPC
• Kimberly Marie Watt, LMSW
• Makenna Kay Watt
• Katherine Anne Weber
• Olga Weeks, DPT
• White Oak Manor Inc
• Tammy Lily White, S.S.P., L.P.E.S.
• Whitlock Home Care, LLC
• Brianne Whitmire
• Williams Pharmacy

• Internal Medicine Physician in York, SC
• Providers in York, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.
• 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.