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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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: September 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 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
Phone(864) 847-6020
Fax(864) 847-6007
Sole ProprietorNo
Medical School CMSWestern States College Of ChiropracticGraduated 1976
Enumeration DateNovember 13, 2006
Last NPPES UpdateSeptember 27, 2026
✔ 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
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Other Identifiers 1

MedicaidCH1743SC

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

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

Medicare Billing Reassignment

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

Complete Healing & Wellness Center P.A.
Same address
Family Medicine
24 EAST MAIN ST
Williamston, SC 29697
  • Reassigned Medicare billing, South Carolina enrollment
  • 7 clinicians in this Medicare group
NPI 1245301985 (864) 847-6020

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

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.

Which organization bills Medicare for Jack Wise's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Wise reassigns Medicare benefits to Complete Healing & Wellness Center P.A. (Williamston, 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 Jack Wise's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jack Wise accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next and Providence Health Plan and 1 other insurer 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 September 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.