SHANE WILSON
NPI 1659121952
Student in an Organized Health Care Education/Training Program in Columbia, SC
NPI Status: Active since March 27, 2024
Contact Information
14 RICHLAND MEDICAL PARK DR
COLUMBIA, SC
ZIP 29203
Phone: (803) 434-3790
- Individual
- Male
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About SHANE WILSON
This page provides the complete NPI Profile along with additional information for Shane Wilson, a primary care provider established in Columbia, South Carolina with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1659121952 assigned on March 2024. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1659121952
- Provider Name
- SHANE WILSON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 14 RICHLAND MEDICAL PARK DR COLUMBIA, SC 29203
- Location Phone
- (803) 434-3790
- Mailing Address
- 14 RICHLAND MEDICAL PARK DR COLUMBIA, SC 29203
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-27-2024
- Last Update Date
- 03-27-2024
- Code Navigator
A primary care provider (PCP) like Shane Wilson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare Participation & PECOS Enrollment Status
Shane Wilson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 5 | 9 | 1 | 2 | 1 | 9 | 5 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 10 | 9 | 2 | 2 | 2 | 9 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 0 + 9 + 2 + 2 + 2 + 9 + 1 + 0 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1659121952 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1720017395 | MS. SALLIE I PRUGH CPNP Individual | Nurse Practitioner (Pediatrics) | 14 RICHLAND MEDICAL PARK DR SUITE 400 COLUMBIA, SC 29203 (803) 434-7950 |
| 1972608826 | CHARLOTTE LINDLER M.D. Individual | Pediatrics | 14 RICHLAND MEDICAL PARK DR STE.410 COLUMBIA, SC 29203 (803) 799-9044 |
| 1760587695 | CHARLES GUY CASTLES III M.D. Individual | Pediatrics | 14 RICHLAND MEDICAL PARK DR STE. 410 COLUMBIA, SC 29203 (803) 799-9044 |
| 1508961442 | JOE BLAIR CASTLES III M.D. Individual | Pediatrics | 14 RICHLAND MEDICAL PARK DR STE. 410 COLUMBIA, SC 29203 (803) 799-9044 |
| 1578895579 | KATHERINE M HUTCHINSON DPT Individual | Physical Therapist | 14 RICHLAND MEDICAL PARK DR SUITE 310 COLUMBIA, SC 29203 (803) 434-2300 |
| 1306977806 | CURTIS RAY BAIR M.D. Individual | Internal Medicine | 14 RICHLAND MEDICAL PARK DR SUITE 320 COLUMBIA, SC 29203 (803) 434-6771 |
| 1669415915 | PALMETTO HEALTH Organization | Internal Medicine | 14 RICHLAND MEDICAL PARK DR SUITE 320 COLUMBIA, SC 29203 (803) 434-6771 |
| 1447477112 | DR. ANOOSHEH MOGHBELI MD Individual | Pediatrics | 14 RICHLAND MEDICAL PARK DR SUITE 410 COLUMBIA, SC 29203 (803) 799-9044 |
| 1245616598 | MS. ADILA MUHSINA ABDUL-KARIM FNP-C Individual | Nurse Practitioner (Family) | 14 RICHLAND MEDICAL PARK DR SUITE 320 COLUMBIA, SC 29203 (803) 434-6771 |
| 1659535706 | DR. MICHAEL PATRICK HORAN MS, MD Individual | Orthopaedic Surgery (Pediatric Orthopaedic Surgery) | 14 RICHLAND MEDICAL PARK DR COLUMBIA, SC 29203 (803) 296-9200 |
| 1043253453 | MISHA KELLY RHODES M.D. Individual | Internal Medicine | 14 RICHLAND MEDICAL PARK DR STE 320 COLUMBIA, SC 29203 (803) 434-6771 |
| 1780005827 | PALMETTO HEALTH Organization | Orthopaedic Surgery | 14 RICHLAND MEDICAL PARK DR SUITE 200 COLUMBIA, SC 29203 (803) 296-2663 |
| 1740454081 | MS. BETSY MAHARAJ PA-C Individual | Physician Assistant | 14 RICHLAND MEDICAL PARK DR SUITE 200 COLUMBIA, SC 29203 (347) 621-8127 |
| 1619945540 | DR. DAVID B. FULTON M.D. Individual | Orthopaedic Surgery (Hand Surgery) | 14 RICHLAND MEDICAL PARK DR SUITE 200 COLUMBIA, SC 29203 (803) 296-9200 |
| 1548238496 | DR. EARL B. MCFADDEN II M.D. Individual | Orthopaedic Surgery (Hand Surgery) | 14 RICHLAND MEDICAL PARK DR SUITE 200 COLUMBIA, SC 29203 (803) 296-9200 |
| 1669440525 | DR. FRANK K. NOOJIN III M.D. Individual | Orthopaedic Surgery | 14 RICHLAND MEDICAL PARK DR SUITE 200 COLUMBIA, SC 29203 (803) 296-9200 |
| 1962470849 | DR. MARK D LOCKE M.D. Individual | Orthopaedic Surgery (Pediatric Orthopaedic Surgery) | 14 RICHLAND MEDICAL PARK DR SUITE 200 COLUMBIA, SC 29203 (803) 296-9200 |
| 1053389908 | DR. KIM J. CHILLAG MD Individual | Orthopaedic Surgery | 14 RICHLAND MEDICAL PARK DR SUITE 200 COLUMBIA, SC 29203 (803) 296-9200 |
| 1033187984 | DR. SILAS WENDELL HOLMES II M.D. Individual | Orthopaedic Surgery (Sports Medicine) | 14 RICHLAND MEDICAL PARK DR SUITE 200 COLUMBIA, SC 29203 (803) 296-9200 |
| 1154399079 | DR. WILLIAM T. FELMLY M.D. Individual | Orthopaedic Surgery | 14 RICHLAND MEDICAL PARK DR SUITE 200 COLUMBIA, SC 29203 (803) 296-9200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659121952, enumerated in the NPI registry as an "individual" on March 27, 2024
The provider is located at 14 Richland Medical Park Dr Columbia, Sc 29203 and the phone number is (803) 434-3790
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on March 27, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.