Individual provider Active NPI

Glenn Wesley Welcker, M.D.

  • Hospitalist Physician
  • Hampton, SC
National Provider Identifier
1972605194
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
16263 Issued in SC
Practice address
305 Elm St W
Hampton, SC 29924
Phone
(803) 943-9007
NPI assigned
Sep 1, 2006
Last updated
Apr 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16263 SC
Emergency Medicine Physician 207P00000X 16263 SC
Hospitalist Physician 208M00000X 16263 SC Primary

Addresses

Primary practice location

305 Elm St W
Hampton, SC 29924

Mailing address

305 Elm St W
Hampton, SC 29924
Phone (803) 943-9007

Other identifiers 1

IdentifierTypeStateIssuer
GP1756MedicaidSC

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
I20101014000367 SC Practitioner - Family Practice 5496735300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaufort County Memorial HospitalGroup PAC ID 7810809365, 197 clinicians

Practice addresses (Care Compare)

1680 Ribaut Rd
Port Royal, SC 29935-2008
Phone (843) 524-8171

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.95 of 100Reported as group
Quality
83.15
Promoting interoperability
100
Improvement activities
40
Cost
73.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16263SCMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hampton Regional Medical Center CurrentSince Oct 18, 2011 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Dec 1, 2020 Accepting new patients
Hampton Regional Medical Center CurrentSince Oct 18, 2011 Accepting new patients
Beaufort County Memorial Hospital Emergency Medicine CurrentSince Dec 1, 2020 Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients

Locations

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

122 Okatie Center Blvd N
Ste 100
Okatie, SC 29909
Phone (843) 706-2185

1680 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-7600

1680B Ribaut Rd
Port Royal, SC 29935
Phone (843) 521-9879

595 W Carolina Ave
Varnville, SC 29944
Phone (803) 943-1221

Interoperability endpoints

  • Direct secure messaging: glenn.welcker.1@7602.direct.athenahealth.com
  • Direct secure messaging: glenn.welcker.2@16436.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1972605194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 ELM ST W",
            "city": "HAMPTON",
            "state": "SC",
            "postal_code": "29924",
            "telephone_number": "803-943-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 ELM ST W",
            "city": "HAMPTON",
            "state": "SC",
            "postal_code": "29924",
            "telephone_number": "803-943-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCKER",
        "first_name": "GLENN",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "16263",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "16263",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "16263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1756",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, SC

Sources for this page

Verify at the official NPI Registry.