RYAN WILSON
NPI 1124657556
Nurse Practitioner - Family in Pawleys Island, SC

Q: What is Ryan Wilson's NPI number?

The NPI number for Ryan Wilson is 1124657556. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Q: What is Ryan Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Wilson was last updated on December 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 07, 2020PECOS EnrolledAccepts Medicare Assignment

201 BUSINESS CENTER DR, PAWLEYS ISLAND, SC 29585(843) 314-3209 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 7, 2023, Jun 7, 2022, Sep 10, 2020 and 1 more (4 updates tracked since 2020).

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About Ryan Wilson NPPES

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

RYAN WILSON (NPI 1124657556) is an individual family provider in Pawleys Island, South Carolina, licensed in South Carolina (23730) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1124657556

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameRYAN WILSON

Location Address201 BUSINESS CENTER DRPawleys Island, SC 29585-6522

Mailing Address2996 E Highway 501Conway, SC 29526-9532 · (843) 347-2613

Phone(843) 314-3209

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 7, 2020

Last NPPES UpdateDecember 7, 20234 updates tracked since enumeration

NPPES CertifiedDecember 7, 2023

✔ NPI 1124657556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SC · 23730

201 BUSINESS CENTER DR, Pawleys Island, SC 29585

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ryan Wilson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375962566

PECOS Enrollment IDI20201008000977

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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

162 services18 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

104 services51 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

84 services83 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

78 services78 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

78 services76 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

63 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29585 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

MS. AMY MCDONALD KINARD LPC

Counselor (Mental Health)

201 BUSINESS CENTER DR, SUITE A
PAWLEYS ISLAND, SC 29585

Georgetown County (843) 237-9789

DR. GERALD FRANCIS CONGDON MD

Family Medicine