DR. JACK D WISE JR. DC
NPI 1255402905
Chiropractor in Williamston, SC

Active since November 13, 2006Accepts Medicare Assignment
24 EAST MAIN STREET, WILLIAMSTON, SC 29697(864) 847-6020(864) 847-6007 Get Directions Write a Review

NPPES record last updated: November 20, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jack D Wise Jr. Dc NPPES

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

DR. JACK D WISE JR. DC (NPI 1255402905) is an individual chiropractor in Williamston, South Carolina, licensed in South Carolina (1743) and active in the NPI registry since November 2006. He is a graduate of Western States College Of Chiropractic (1976).

NPPES Registry Identity

NPI1255402905
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JACK D WISE JR.Credential: DC
Location Address24 EAST MAIN STREETWilliamston, SC 29697
Mailing Address24 East Main StWilliamston, SC 29697 · (864) 847-6020 · Fax (864) 847-6007
Fax(864) 847-6007
Sole ProprietorNo
Medical School CMSWestern States College Of ChiropracticGraduated 1976
Enumeration DateNovember 13, 2006
Last NPPES UpdateNovember 20, 2007
NPI 1255402905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in SC · 1743
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
24 EAST MAIN STREET, Williamston, SC 29697

Other Identifiers 2

MedicaidCH1743SC
Medicare UPINT17115

Accepted 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

Dr. Jack D Wise Jr. Dc 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 ID9739104738
PECOS Enrollment IDI20051010000180

Areas of Expertise CMS Part B claims

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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
145 services19 patients

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 Jack Wise's NPI number?

The NPI number for Jack Wise is 1255402905. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Jack Wise located?

Jack Wise practices at 24 East Main Street, Williamston, SC 29697. The listed phone number is (864) 847-6020.

What is Jack Wise's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jack Wise enrolled in Medicare?

Yes. Jack Wise 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.

What insurance does Jack Wise accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next and Providence Health Plan list Jack Wise 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 Jack Wise was last updated on November 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.