Individual provider Active NPI

Grace Wielicki Couch, FNP-C

  • Family Nurse Practitioner
  • Manning, SC
National Provider Identifier
1821565334
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22307 Issued in SC
Practice address
50 E Hospital St Ste 6
Manning, SC 29102-3149
Phone
(803) 433-3065
NPI assigned
Nov 1, 2018
Last updated
Feb 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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 22307 SC Primary

Addresses

Primary practice location

50 E Hospital St Ste 6
Manning, SC 29102-3149

Mailing address

1690 Brewer Rd
Manning, SC 29102-8735
Phone (803) 460-5151

Other practice location 1

540 Physicians Ln
Sumter, SC 29150-3370
Phone (803) 883-5171

Other practice location 2

3015 W Palmetto St
Florence, SC 29501-5935
Phone (843) 777-6870

Other practice location 3

964 Lochend Dr
Darlington, SC 29532-5698
Phone (843) 777-6890

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
I20181204002623 SC Practitioner - Nurse Practitioner 2062756984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

540 Physicians LN
Sumter, SC 29150-3370
Phone (803) 883-5171

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Colonial Family Practice, LLC Family Current Accepting new patients
Colonial Family Practice, LLC Family Past Accepting new patients
Colonial Family Practice, LLC Past Accepting new patients
Colonial Family Practice, LLC Family Past Accepting new patients
Colonial Family Practice, LLC Family Past Accepting new patients
Colonial Family Practice, LLC Past Accepting new patients
Colonial Family Practice - Manning Family Past Accepting new patients
Colonial Family Practice, LLC Past Accepting new patients
Colonial Family Practice, LLC Family Past Accepting new patients
Colonial Family Practice, LLC Family Past Accepting new patients
Colonial Family Practice & Ambulatory Care Center Family Past Accepting new patients
Colonial Family Practice, LLC Family Past Accepting new patients

Locations

1124 Little St
Camden, SC 29020
Phone (803) 432-9899

4700 Forest Dr
Columbia, SC 29206
Phone (803) 256-1511

1013 Professional Ct
Ste A
Manning, SC 29102
Phone (803) 433-7425

1013 Professional Ct
Ste C
Manning, SC 29102
Phone (803) 433-7425

1036 Professional Ct
Manning, SC 29102
Phone (803) 433-5220

308 W Wesmark Blvd
Sumter, SC 29150
Phone (803) 905-1200

325 Broad St
Sumter, SC 29150

325 Broad St
Ste 100
Sumter, SC 29150

325 Broad St
Ste 200
Sumter, SC 29150
Phone (803) 775-4469

327 Broad St
Sumter, SC 29150
Phone (803) 774-2781

385 W Wesmark Blvd
Sumter, SC 29150
Phone (803) 774-8290

674 W Liberty St
Sumter, SC 29150
Phone 80377352276010

742 W Liberty St
Sumter, SC 29150
Phone (803) 773-3391

Interoperability endpoints

  • Direct secure messaging: grace.couch@colonialhealthcare.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CIHIBD

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1821565334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 BREWER RD",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291028735",
            "telephone_number": "803-460-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E HOSPITAL ST STE 6",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291023149",
            "telephone_number": "803-433-3065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Physicians Ln",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291503370",
            "country_code": "US",
            "telephone_number": "803-883-5171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3015 W Palmetto St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295015935",
            "country_code": "US",
            "telephone_number": "843-777-6870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "964 Lochend Dr",
            "address_purpose": "LOCATION",
            "city": "Darlington",
            "state": "SC",
            "postal_code": "295325698",
            "country_code": "US",
            "telephone_number": "843-777-6890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUCH",
        "first_name": "GRACE",
        "middle_name": "WIELICKI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manning, SC

Sources for this page

Verify at the official NPI Registry.