Marian Jane Wasson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

8880 Issued in SC

Practice address

1307 N Logan St
Gaffney, SC 29341-2026

Phone

(864) 488-1333

Fax

(864) 488-3004

NPI assigned

Jan 30, 2006

Last updated

Mar 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

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.

• Cherokee Community Care, LLC

  • Family Medicine Physician
  • Gaffney, SC
  • NPI 1003462151
  Medicare reassignment NPD
• SC Cherokee Emergency Physicians

  • Emergency Medicine Physician
  • Gaffney, SC
  • NPI 1689836751
  NPD (past)
• Upstate Emergency Service

  • Emergency Medicine Physician
  • Gaffney, SC
  • NPI 1902976426
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1881665685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 N LOGAN ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293412026",
            "telephone_number": "864-488-1333",
            "fax_number": "864-488-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 N LOGAN ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293412026",
            "telephone_number": "864-488-1333",
            "fax_number": "864-488-3004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1445 N Limestone St",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Gaffney",
            "state": "SC",
            "postal_code": "293404735",
            "country_code": "US",
            "telephone_number": "864-487-5014",
            "fax_number": "864-487-7981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "517 Chesnee Hwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Gaffney",
            "state": "SC",
            "postal_code": "293412709",
            "country_code": "US",
            "telephone_number": "864-487-7655",
            "fax_number": "864-487-8718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASSON",
        "first_name": "MARIAN",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "8880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "32354",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88808",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4545148",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890581C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #09996)
• Katie Walker
• Jennifer Lynn Wallace, PT
• Lori Waller, PTA
• Crista Alena Walters
• Kristin Victoria Watson
• Scott McCain Watts, COTA
• Kaitlyn Mason Weathers, FNP
• Teresa Welch, R.N.
• Bruce H Wellmon, DPM

• Family Medicine Physician in Gaffney, SC
• Providers in Gaffney, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.