Stephanie B Woollen, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

15566 Issued in SC

Practice address

Georgetown Community Hospital
606 Black River Road
Georgetown, SC 29440

Phone

(843) 520-8452

NPI assigned

Jun 15, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

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

Interoperability endpoints

• Direct secure messaging: swoollen41783@direct.anmedhealth.net

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.

• 24 On Physicians of SC, LLC

  • Hospitalist Physician
  • Charleston, SC
  • NPI 1144877655
  Medicare reassignment NPD
• 24 On Physicians, PC

  • Hospitalist Physician
  • Anderson, SC
  • NPI 1588613343
  Medicare reassignment NPD
• Georgetown Memorial Hospital

  • General Acute Care Hospital
  • Georgetown, SC
  • NPI 1982604021
  Medicare reassignment NPD
• Waccamaw Community Hospital

  • General Acute Care Hospital
  • Murrells Inlet, SC
  • NPI 1972503910
  Medicare reassignment NPD
• Charrt,Inc.

  • Nephrology Physician
  • Aiken, SC
  • NPI 1730284480
  NPD (past) Authorized official
• Georgetown Memorial Hospital

  • Skilled Nursing Facility
  • Georgetown, SC
  • NPI 1881307056
  NPD
• 24 On Physicians, P.C.

  • Hospitalist Physician
  • Attleboro, MA
  • NPI 1790104511
  NPD
• Ihms at Armc, LLC

  • Hospitalist Physician
  • Aiken, SC
  • NPI 1871600551

  Internal Medicine

  NPD (past)
• Amy M Sprague MD PC

  • Nephrology Physician
  • Augusta, GA
  • NPI 1609024926
  NPD (past)
• Augusta Inpatient Services, LLC

  • Internal Medicine Physician
  • Augusta, GA
  • NPI 1972743383
  NPD (past)
• Augusta Nephrology and Internal Medicine Associates, PC

  • Legal Medicine
  • Augusta, GA
  • NPI 1508882432
  NPD (past)
• Augusta Specialty Hospitalists LLC

  • Neurology Physician
  • Augusta, GA
  • NPI 1164711297
  NPD (past)

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1790780096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 OLD WACCAMAW DR",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295857278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GEORGETOWN COMMUNITY HOSPITAL",
            "address_2": "606 BLACK RIVER ROAD",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "29440",
            "telephone_number": "843-520-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLLEN",
        "first_name": "STEPHANIE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "042002",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "042002",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "042002",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "15566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N06701",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000706428V",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fredrick Winns
• Winyah Chiropractic Clinic Inc
• Winyah Home Medical, Inc
• Winyah Women'S Center, LLC
• Jason Wood, DMD
• Ming Yin, M.D.
• Carole M. Young, M.D.
• Jie Yu
• Margaret J Zometsky, CRNA

• Nephrology Physician in Georgetown, SC
• Providers in Georgetown, SC by specialty
• Nephrology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.