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VANESSA K WIDEMAN MD
NPI 1982691796
Family Medicine in Eastover, SC

Active since October 06, 2005PECOS Enrolled
1325 S CAROLINA RD STE 11, EASTOVER, SC 29044(803) 647-8295(803) 647-8612 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2024, Jul 17, 2018 (2 updates tracked since 2018).

About Vanessa K Wideman Md NPPES

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

VANESSA K WIDEMAN MD (NPI 1982691796) is an individual family medicine provider in Eastover, South Carolina, licensed in South Carolina (29480) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Elgin.

NPPES Registry Identity

NPI1982691796
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameVANESSA K WIDEMANCredential: MD
Location Address1325 S CAROLINA RD STE 11Eastover, SC 29044
Mailing Address1325 S Carolina Rd Ste 11Eastover, SC 29044-5000 · (803) 647-8295 · Fax (803) 647-8612
Phone(803) 647-8295
Fax(803) 647-8612
Sole ProprietorNo
Enumeration DateOctober 6, 2005
Last NPPES UpdateDecember 17, 20242 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
✔ NPI 1982691796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · 29480
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1325 S CAROLINA RD STE 11, Eastover, SC 29044
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Secondary Practice Location 1

Location 140 Pinnacle Parkway, Suite 208Elgin, SC 29045 · Phone (803) 424-5165 · Fax (803) 408-0356

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vanessa K Wideman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29044 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.

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 Vanessa Wideman's NPI number?

The NPI number for Vanessa Wideman is 1982691796. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Where is Vanessa Wideman located?

Vanessa Wideman practices at 1325 S Carolina Rd Ste 11, Eastover, SC 29044. The listed phone number is (803) 647-8295.

What is Vanessa Wideman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Vanessa Wideman enrolled in Medicare?

Yes. Vanessa Wideman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vanessa Wideman was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.