Jaime Christine Wise, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MMD.36408MD Issued in SC

Practice address

800 W Meeting St
Lancaster, SC 29720-2202

Phone

(803) 286-1214

Fax

(888) 507-9833

NPI assigned

Mar 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

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.

• Healogics Specialty Physicians of South Carolina, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Myrtle Beach, SC
  • NPI 1033531850

  Family Medicine

  Medicare reassignment NPD
• Healogics Specialty Physicians of South Carolina, LLC

  • Clinic/Center
  • Spartanburg, SC
  • NPI 1023677945
  NPD
• Union Physicians Network Inc

  • Pulmonary Disease Physician
  • Indian Trail, NC
  • NPI 1528324365
  NPD (past)
• Union Physicians Network Inc

  • Surgery Physician
  • Monroe, NC
  • NPI 1811210917
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1740319904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848886",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022848886",
            "telephone_number": "904-446-3451",
            "fax_number": "888-507-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W MEETING ST",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202202",
            "telephone_number": "803-286-1214",
            "fax_number": "888-507-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "JAIME",
        "middle_name": "CHRISTINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2008-00306",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "MMD.36408MD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC1055",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Letanya Williams
• Mandy Williams
• Christie Williamson, MD
• Christine Willis, PHARMD
• Ariel Winston
• Robbie N Wisham, PTA
• Mary Elizabeth Wood, PHARMD
• Misty Marie Wood, RN
• Wren Emergency Physicians
• Amy Elizabeth Wright, PHARMD

• Family Medicine Physician in Lancaster, SC
• Providers in Lancaster, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.