Rodney Charles Wadley Sr., M.D.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

83268 Issued in SC

Practice address

811 W Main St
Lexington, SC 29072

Phone

(803) 358-6100

Fax

(803) 358-6105

NPI assigned

Mar 10, 2006

Last updated

Oct 23, 2019By the provider in NPPES

Sex

Male

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 VA, GA2 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

Merit-based Incentive Payment System (MIPS)

Final score

91.62 of 100Reported as apm

Quality

83.25

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Houston County Emergency Group, LLC

  • Emergency Medicine Physician
  • Warner Robins, GA
  • NPI 1013338193
  Medicare reassignment NPD
• Michumi PLLC

  dba MD Express

  • Emergency Medicine Physician
  • Williamsburg, VA
  • NPI 1255388021
  Medicare reassignment NPD
• Physicians United Urgent Care

  • Urgent Care Clinic/Center
  • Augusta, GA
  • NPI 1497313258
  Medicare reassignment NPD
• Houston County Emergency Group, LLC

  • Emergency Medicine Physician
  • Perry, GA
  • NPI 1467873547
  NPD
• Peninsula Radiological Associates Limited

  • Diagnostic Radiology Physician
  • Newport News, VA
  • NPI 1114030426
  NPD (past)

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1790753002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 HULON LANE",
            "address_2": "ATTN: VP - REVENUE CYCLE",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29169",
            "telephone_number": "803-358-6100",
            "fax_number": "803-358-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W MAIN ST",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "29072",
            "telephone_number": "803-358-6100",
            "fax_number": "803-358-6105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "586 Brannen St",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304585557",
            "country_code": "US",
            "telephone_number": "912-871-6611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "586 Brannen St",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304585557",
            "country_code": "US",
            "telephone_number": "912-871-6611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313221956",
            "country_code": "US",
            "telephone_number": "912-748-1515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14089 Abercorn St",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314191966",
            "country_code": "US",
            "telephone_number": "912-777-6161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADLEY",
        "first_name": "RODNEY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "GA",
            "license": "055325",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "SC",
            "license": "83268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "055325",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Vonkeller
• Gina Decker Votion, LISWCP
• Timothy D Votion, D.C.
• Vrcare.LLC
• Wade D Reynolds DO, LLC (Ivy Park Family Medicine)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0881)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-4521)
• Wal-Mart Stores Easts, LP.
• Wal-Mart Stores, Inc. (Vision Center 30-4521)
• Kaitlyn Waldo

• Occupational Medicine Physician in Lexington, SC
• Providers in Lexington, SC by specialty
• Occupational Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.