Individual provider Active NPI

Megan Leigh Witrick, M.D.

  • Pediatrics Physician
  • Anderson, SC
National Provider Identifier
1801178900
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
36933 Issued in SC
Practice address
2000 E Greenville St Ste 3000
Anderson, SC 29621-1723
Phone
(864) 512-6760
Fax
(864) 224-3773
NPI assigned
Sep 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 36933 SC Primary

Addresses

Primary practice location

2000 E Greenville St Ste 3000
Anderson, SC 29621-1723

Mailing address

PO Box 100174
Columbia, SC 29202-3174
Phone (864) 512-6760

Other identifiers 1

IdentifierTypeStateIssuer
369336OtherSCSC MEDICAID

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140918002101 SC Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 5294954590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36933SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mwitrick28122@direct.anmedhealth.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1801178900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100174",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292023174",
            "telephone_number": "864-512-6760",
            "fax_number": "864-224-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E GREENVILLE ST STE 3000",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211723",
            "telephone_number": "864-512-6760",
            "fax_number": "864-224-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITRICK",
        "first_name": "MEGAN",
        "middle_name": "LEIGH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "36933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAID",
            "identifier": "369336",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.