Ricky David Wolfe, MD

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

14003 Issued in SC

Practice address

1530 N Limestone St
Gaffney, SC 29340

Phone

(864) 487-1603

Fax

(864) 487-1626

NPI assigned

Dec 22, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in SC, 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

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.

• Lowcountry Urology Clinics PA

  • Urology Physician
  • N Charleston, SC
  • NPI 1942242714
  Medicare reassignment NPD
• Urology Specialists of Georgia

  • Urology Physician
  • Macon, GA
  • NPI 1699786590
  Medicare reassignment NPD
• Lowcountry Urology Clinics, PA

  • Durable Medical Equipment & Medical Supplies
  • Charleston, SC
  • NPI 1831967454
  NPD
• Upstate Carolina Radiology PA

  • Diagnostic Radiology Physician
  • Spartanburg, SC
  • NPI 1750348595
  NPD (past)
• East Georgia Diagnostic Services

  • Clinical Medical Laboratory
  • Statesboro, GA
  • NPI 1497702088
  NPD (past)
• Gastroenterology Associates of Central Ga, LLC

  • Specialist
  • Macon, GA
  • NPI 1528192176
  NPD (past)
• Marlboro Chesterfield Pathology, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Pinehurst, NC
  • NPI 1649873647
  NPD (past)
• Statesboro Pathology Associates

  • Anatomic Pathology & Clinical Pathology Physician
  • Statesboro, GA
  • NPI 1558318162
  NPD (past)

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1790762417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 N LIMESTONE ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "29340",
            "telephone_number": "864-487-1603",
            "fax_number": "864-487-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 N LIMESTONE ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "29340",
            "telephone_number": "864-487-1603",
            "fax_number": "864-487-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "RICKY",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "SC",
            "license": "14003",
            "primary": true
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901767",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q41705",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00708606A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Wilson, D.C.
• Jeri Ann Wilson
• Kara Wilson
• Shikina Symone Wilson
• Trena Wisher
• Alicia Dawn Womack, NURSE PRACTITIONER
• Zach Wood
• Mary Alex Woodlief
• Sharon Fitzgerald Wright, LPC
• David Michael Yannello Sr., R.PH.

• Anatomic Pathology Physician in Gaffney, SC
• Providers in Gaffney, SC by specialty
• Anatomic Pathology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.