Individual provider Active NPI

Madison Graham Wiggins, PA-C

  • Physician Assistant
  • Kingstree, SC
National Provider Identifier
1982467239
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5487 Issued in SC
Practice address
342 W Main St
Kingstree, SC 29556-3235
Phone
(843) 355-3621
NPI assigned
Jan 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5487 SC Primary

Addresses

Primary practice location

342 W Main St
Kingstree, SC 29556-3235

Mailing address

PO Box 23321
New York, NY 10087
Phone (843) 933-1592

Other practice location 1

1572 Bullard Rd
Hemingway, SC 29554-4401
Phone (843) 933-1592

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)

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
I20241015001174 SC Practitioner - Physician Assistant 6507398641 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical University Hospital AuthorityGroup PAC ID 1557268950, 218 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

148 Sauls St
Lake City, SC 29560-2677
Phone (843) 374-3621

342 W Main St
Kingstree, SC 29556-3235
Phone (843) 355-3621

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Kingstree, SC, CCN 427068
  • CCN 420117 Hospital, CCN 420117
  • Musc Health Florence Medical Center Hospital, Florence, SC, CCN 420091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5487SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Oct 1, 2024 Accepting new patients
Medical University Hospital Authority CurrentSince Mar 20, 2025 Accepting new patients
Musc Community Physicians CurrentSince Oct 1, 2024 Accepting new patients
Medical University Hospital Authority CurrentSince Mar 20, 2025 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients
Medical University Hospital Authority Past Accepting new patients
Medical University Hospital Authority Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

342 W Main St
Kingstree, SC 29556
Phone (843) 355-2434

148 Sauls St
Ste E
Lake City, SC 29560
Phone (843) 374-3621

276 N Ron McNair Blvd
Lake City, SC 29560
Phone (843) 394-1051

511 S Main St
Mullins, SC 29574
Phone (843) 464-8244

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1982467239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23321",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10087",
            "telephone_number": "843-933-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 W MAIN ST",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295563235",
            "telephone_number": "843-355-3621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1572 Bullard Rd",
            "address_purpose": "LOCATION",
            "city": "Hemingway",
            "state": "SC",
            "postal_code": "295544401",
            "country_code": "US",
            "telephone_number": "843-933-1592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "MADISON",
        "middle_name": "GRAHAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "5487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "342 W Main St",
            "city": "Kingstree",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295563235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingstree, SC

Sources for this page

Verify at the official NPI Registry.