Wellcare of South Carolina, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

WELLCARE OF SOUTH CAROLINA, INC.

Practice address

200 Center Point Cir Ste 180
Columbia, SC 29210-5895

Phone

(803) 561-4400

NPI assigned

Nov 6, 2017

Organization subpart

Yes

Parent organization

WELLCARE HEALTH PLANS, INC.As reported in NPPES

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

Authorized official

Name

Michael Haber

Title

Secretary

Phone

(813) 206-1490

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509926400000",
    "number": "1912410549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CENTER POINT CIR STE 180",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292105895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CENTER POINT CIR STE 180",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292105895",
            "telephone_number": "803-561-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE OF SOUTH CAROLINA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLCARE HEALTH PLANS, INC.",
        "enumeration_date": "2017-11-06",
        "last_updated": "2017-11-06",
        "status": "A",
        "authorized_official_last_name": "HABER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "813-206-1490"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Nagy Welch, PHARMD
• Erykah Weldon
• Nedeirdra Weldon
• Angela Welker, APRN
• Claire Roof Wellborn, PH.D.
• Wellness Counseling Services LLC
• Wellnite Medical Group PA
• Andrew Francis Wells, M.D.
• Bryan Wells, ATC
• Erin Goff Wells

• Health Maintenance Organization in Columbia, SC
• Providers in Columbia, SC by specialty
• Health Maintenance Organization in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.