Individual provider Active NPI

Efua Akyea Wilmot, DO

  • Pediatrics Physician
  • Sumter, SC
National Provider Identifier
1871099564
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
83727 Issued in SC
Practice address
370 S Pike W
Sumter, SC 29150-2664
Phone
(803) 774-7337
NPI assigned
Apr 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2018019147 MO
Pediatrics Physician 208000000X 94-09703 KS
Pediatrics Physician 208000000X 83727 SC Primary

Addresses

Primary practice location

370 S Pike W
Sumter, SC 29150-2664

Mailing address

370 S Pike W
Sumter, SC 29150-2664
Phone (803) 774-7337

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
I20210819000264 SC Practitioner - Pediatric Medicine 6305192055 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Edward Via Col of Osteo Medicine-Carolinas Campus, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tandem Health SCGroup PAC ID 3870575855, shared by 10 NPIs, 32 clinicians

Practice addresses (Care Compare)

1278 N Lafayette Dr
Sumter, SC 29150-2964
Phone (803) 774-4500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94-09703KSMDPediatrics Physician
2018019147MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tandem Health SC CurrentSince Apr 5, 2025 Accepting new patients
Tandem Health SC CurrentSince Sep 20, 2025 Accepting new patients
Tandem Health SC CurrentSince Aug 30, 2021 Accepting new patients
Tandem Health SC CurrentSince Jun 21, 2025 Accepting new patients
Tandem Health SC CurrentSince Aug 30, 2021 Accepting new patients
Tandem Health SC CurrentSince Jun 21, 2025 Accepting new patients
Tandem Health SC Current Accepting new patients
Tandem Health SC Past Accepting new patients

Locations

200 W Clark St
Pinewood, SC 29125
Phone (803) 830-6184

4100 Highway 261 N
Rembert, SC 29128
Phone (803) 830-6108

3400 Bethel Church Rd
Sumter, SC 29154
Phone (803) 830-6409

1278 N Layfayette St
Sumter, SC 29150

319 N Main St
Sumter, SC 29150
Phone 8037744500 ext. 905

370 S Pike W
Sumter, SC 29150
Phone (803) 774-6448

425 N Salem Ave
Sumter, SC 29150
Phone (803) 773-8148

550 S Pike W
Sumter, SC 29150

Interoperability endpoints

  • Direct secure messaging: efua.wilmot.1@13095.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1871099564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 S PIKE W",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502664",
            "telephone_number": "803-774-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 S PIKE W",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502664",
            "telephone_number": "803-774-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILMOT",
        "first_name": "EFUA",
        "middle_name": "AKYEA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2018019147",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "94-09703",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "83727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.