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LAURA WIERICHS PA
NPI 1114579380
Physician Assistant - Surgical in Summerville, SC

Active since July 09, 2019PECOS Enrolled
300 CALLEN BLVD STE 220, SUMMERVILLE, SC 29486(843) 884-8045(843) 881-5081 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 10, 2022, Aug 12, 2022, Jul 9, 2019 (3 updates tracked since 2019).

About Laura Wierichs Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURA WIERICHS PA (NPI 1114579380) is an individual surgical provider in Summerville, South Carolina, licensed in South Carolina (4528) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1114579380
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameLAURA WIERICHSCredential: PA
Location Address300 CALLEN BLVD STE 220Summerville, SC 29486-2816
Mailing AddressPo Box 751649Charlotte, NC 28275-1649 · (843) 789-1620 · Fax (843) 724-2440
Phone(843) 884-8045
Fax(843) 881-5081
Sole ProprietorNo
Enumeration DateJuly 9, 2019
Last NPPES UpdateNovember 10, 20223 updates tracked since enumeration
NPPES CertifiedNovember 10, 2022
✔ NPI 1114579380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in SC · 4528
Also ListedPhysician AssistantTaxonomy 363A00000X · License 9318 (GA)
300 CALLEN BLVD STE 220, Summerville, SC 29486
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Secondary Practice Location 1

Location 11365 Clifton Rd NE Ste B1000Atlanta, GA 30322-1013 · Phone (404) 778-4898

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura Wierichs Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROPER SAINT FRANCIS PHYSICIANS NETWORK
Preventive Medicine (Undersea and Hyperbaric Medicine)
300 CALLEN BLVD STE 220
SUMMERVILLE, SC 29486
Berkeley County (843) 724-2289
ROPER HOSPITAL, INC.
Preventive Medicine (Undersea and Hyperbaric Medicine)
300 CALLEN BLVD STE 220
SUMMERVILLE, SC 29486
Berkeley County (843) 724-2289
HEATHER LEE INCH CRNP
Nurse Practitioner (Acute Care)
300 CALLEN BLVD STE 220
SUMMERVILLE, SC 29486
Berkeley County (843) 958-1281
ANNA MATRACHISIA M.D.
Colon & Rectal Surgery
300 CALLEN BLVD STE 220
SUMMERVILLE, SC 29486
Berkeley County (843) 958-1281
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Colon & Rectal Surgery
300 CALLEN BLVD STE 220
SUMMERVILLE, SC 29486
Berkeley County (843) 958-1281
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Internal Medicine (Gastroenterology)
300 CALLEN BLVD STE 220
SUMMERVILLE, SC 29486
Berkeley County (843) 720-8369
GABRIEL RYAN CHEDISTER M.D.
Colon & Rectal Surgery
300 CALLEN BLVD STE 220
SUMMERVILLE, SC 29486
Berkeley County (843) 958-1281
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Thoracic Surgery (Cardiothoracic Vascular Surgery)
300 CALLEN BLVD STE 220
SUMMERVILLE, SC 29486
Berkeley County (843) 720-8317

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laura Wierichs's NPI number?

The NPI number for Laura Wierichs is 1114579380. It was assigned to this individual provider in the NPPES registry on July 9, 2019.

Where is Laura Wierichs located?

Laura Wierichs practices at 300 Callen Blvd Ste 220, Summerville, SC 29486. The listed phone number is (843) 884-8045.

What is Laura Wierichs's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Laura Wierichs enrolled in Medicare?

Yes. Laura Wierichs is registered in the Medicare PECOS enrollment system.

What insurance does Laura Wierichs accept?

Health plans from First Choice Next list Laura Wierichs as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Laura Wierichs was last updated on November 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.