MR. JOHN CALEB WATES APRN -BC, FNP
NPI 1639284938
Nurse Practitioner - Family in Edgefield, SC

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
155 RIDGE MEDICAL PLAZA RD, EDGEFIELD, SC 29824(803) 637-3146(803) 637-6597 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. John Caleb Wates Aprn -bc, Fnp NPPES

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

MR. JOHN CALEB WATES APRN -BC, FNP (NPI 1639284938) is an individual family provider in Edgefield, South Carolina, licensed in South Carolina (F3009) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Self Regional Healthcare, and is a graduate of Medical College Of Georgia School Of Medicine (2006).

NPPES Registry Identity

NPI1639284938
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JOHN CALEB WATESCredential: APRN -BC, FNP
Location Address155 RIDGE MEDICAL PLAZA RDEdgefield, SC 29824-4531
Mailing Address155 Ridge Medical Plaza RdEdgefield, SC 29824-4531 · (803) 637-3146 · Fax (803) 637-6597
Fax(803) 637-6597
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2006
Enumeration DateAugust 20, 2006
Last NPPES UpdateDecember 28, 2021
NPPES CertifiedDecember 28, 2021
NPI 1639284938 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 · F3009
155 RIDGE MEDICAL PLAZA RD, Edgefield, SC 29824

Other Identifiers 3

MedicaidNP2197SC
MedicaidRHC552SC
MedicaidRHC548SC

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

Mr. John Caleb Wates Aprn -bc, Fnp 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 ID941200968
PECOS Enrollment IDI20061221000509
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Self Regional Healthcare

Acute Care Hospitals · Greenwood, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420071
Location1325 Spring StreetGreenwood, SC 29646 · Greenwood County
Emergency services Birthing friendly

Aiken Regional Medical Center

Acute Care Hospitals · Aiken, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420082
Location302 University ParkwayAiken, SC 29801 · Aiken County
Emergency services Birthing friendly

Edgefield County Healthcare An Affiliate Of Self R

Critical Access Hospitals · Edgefield, SC
OwnershipGovernment - Local
CMS Certification Number421304
Location300 Ridge Medical PlazaEdgefield, SC 29824 · Edgefield County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29824 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers36 claims84 services$6.04 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers16 claims16 services$184.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Family Medicine
155 RIDGE MEDICAL PLAZA RD
EDGEFIELD, SC 29824
Family Medicine
155 RIDGE MEDICAL PLAZA RD
EDGEFIELD, SC 29824
Nurse Practitioner (Family)
155 RIDGE MEDICAL PLAZA RD
EDGEFIELD, SC 29824
Clinic/Center (Rural Health)
155 RIDGE MEDICAL PLAZA RD
EDGEFIELD, SC 29824
Physician Assistant (Medical)
155 RIDGE MEDICAL PLAZA RD, SUITE A
EDGEFIELD, SC 29824
Family Medicine
155 RIDGE MEDICAL PLAZA RD
EDGEFIELD, SC 29824

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 John Wates's NPI number?

The NPI number for John Wates is 1639284938. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is John Wates located?

John Wates practices at 155 Ridge Medical Plaza Rd, Edgefield, SC 29824. The listed phone number is (803) 637-3146.

What is John Wates's specialty?

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

Is John Wates enrolled in Medicare?

Yes. John Wates 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 John Wates accept?

Health plans from BlueCross BlueShield of South Carolina and First Choice Next list John Wates 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.

Is John Wates affiliated with any hospitals?

According to CMS data, John Wates is affiliated with Self Regional Healthcare, Aiken Regional Medical Center and Edgefield County Healthcare An Affiliate Of Self R.

When was this NPI record last updated?

The NPPES record for John Wates was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.