1. Home
  2. Directory
  3. South Carolina
  4. Pawleys Island
  5. Nurse Practitioner
  6. NPI Profile

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

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: October 25, 2026.

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

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Ryan Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medcare Express - North Charleston LLC
69 mi
Urgent Care
1850 SAM RITTENBERG BLVD, SUITE B
Charleston, SC 29407
  • Reassigned Medicare billing, South Carolina enrollment
  • 113 clinicians in this Medicare group
NPI 1457579617 (843) 793-6093

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JOHN DEWEY HYNES M.D.
General Practice
201 BUSINESS CENTER DR
PAWLEYS ISLAND, SC 29585
Georgetown County (888) 467-1117
DANIEL QUIRK III PA
Physician Assistant
201 BUSINESS CENTER DR
PAWLEYS ISLAND, SC 29585
Georgetown County (888) 467-1117
DR. GERALD FRANCIS CONGDON MD
Family Medicine
201 BUSINESS CENTER DR
PAWLEYS ISLAND, SC 29585
Georgetown County (888) 467-1117
COASTAL RECOVERY OF SOUTH CAROLINA
Clinic/Center
201 BUSINESS CENTER DR
PAWLEYS ISLAND, SC 29585
Georgetown County (888) 467-1117
MEDCARE EXPRESS - NORTH CHARLESTON LLC
Clinic/Center (Urgent Care)
201 BUSINESS CENTER DR
PAWLEYS ISLAND, SC 29585
Georgetown County (843) 314-3209
MS. AMY MCDONALD KINARD LPC
Counselor (Mental Health)
201 BUSINESS CENTER DR, SUITE A
PAWLEYS ISLAND, SC 29585
Georgetown County (843) 237-9789
DEIDRE J HUDSON MD
Clinic/Center
201 BUSINESS CENTER DR
PAWLEYS ISLAND, SC 29585
Georgetown County (888) 467-1117

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 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.

Where is Ryan Wilson located?

Ryan Wilson practices at 201 Business Center Dr, Pawleys Island, SC 29585. The listed phone number is (843) 314-3209.

What is Ryan Wilson's specialty?

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

Is Ryan Wilson enrolled in Medicare?

Yes. Ryan Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ryan Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Wilson reassigns Medicare benefits to Medcare Express - North Charleston LLC (Charleston, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ryan Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Wilson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and First Choice Next list Ryan Wilson 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 Ryan Wilson was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.