Individual provider Active NPI

Wendy W Nix, FNP

  • Family Nurse Practitioner
  • Clinton, SC
National Provider Identifier
1760710677
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3928 Issued in SC
Practice address
210 S Broad St
Clinton, SC 29325-2505
Phone
(864) 833-0973
Fax
(864) 241-9290
NPI assigned
Dec 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3928 SC Primary

Addresses

Primary practice location

210 S Broad St
Clinton, SC 29325-2505

Mailing address

22725 Highway 76 E
Clinton, SC 29325-7527
Phone (864) 833-9111

Other practice location 1

22725 Highway 76 E
Clinton, SC 29325-7527
Phone (864) 833-9111

Other practice location 2

22580 Highway 76 E Ste 200
Laurens, SC 29360-8460
Phone (864) 725-1480

Other identifiers 1

IdentifierTypeStateIssuer
NP1549MedicaidSC

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100525000266 SC Practitioner - Nurse Practitioner 2961531223 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Self Regional HealthcareGroup PAC ID 4082527742, 159 clinicians
Self Medical GroupGroup PAC ID 6002953916, 393 clinicians

Practice addresses (Care Compare)

22580 Hwy 76 E
Suite 100
Laurens, SC 29360-8460
Phone (864) 833-5986

298 Commerce Dr
Newberry, SC 29108-2953
Phone (803) 321-3232

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Self Regional Healthcare CurrentSince Oct 2, 2025 Accepting new patients
Self Regional Healthcare CurrentSince Oct 2, 2025 Accepting new patients
Self Medical Group Current Accepting new patients
Self Medical Group CurrentSince Apr 1, 2024 Accepting new patients
Self Medical Group CurrentSince Apr 1, 2024 Accepting new patients
Greenville Health System Current Accepting new patients
Self Regional Healthcare Current Accepting new patients
Self Regional Healthcare Past Accepting new patients

Locations

75 Remittance Dr
Dept 6793
Chicago, IL 60675

75 Remittance Dr
Dept 6764
Chicago, IL 60675

22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

155 Academy Ave
Greenwood, SC 29646
Phone (864) 725-4865

22580 Highway 76 E
Ste 200
Laurens, SC 29360
Phone (864) 725-1480

22580 Highway 76 E
Ste 100
Laurens, SC 29360
Phone 8648335986 ext. 54673

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1259884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1760710677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22725 HIGHWAY 76 E",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257527",
            "telephone_number": "864-833-9111",
            "fax_number": "864-833-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S BROAD ST",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293252505",
            "telephone_number": "864-833-0973",
            "fax_number": "864-241-9290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22725 Highway 76 E",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "SC",
            "postal_code": "293257527",
            "country_code": "US",
            "telephone_number": "864-833-9111",
            "fax_number": "864-833-9493",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22580 Highway 76 E Ste 200",
            "address_purpose": "LOCATION",
            "city": "Laurens",
            "state": "SC",
            "postal_code": "293608460",
            "country_code": "US",
            "telephone_number": "864-725-1480",
            "fax_number": "864-725-1481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIX",
        "first_name": "WENDY",
        "middle_name": "W",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-04",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "3928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1549",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, SC

Sources for this page

Verify at the official NPI Registry.