STEPHANIE B. WOOLLEN M.D. – NPI #1790780096
Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
STEPHANIE WOOLLEN is a physician located in GEORGETOWN, SC. NPPES has assigned the NPI number 1790780096 to STEPHANIE WOOLLEN on June 15, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology
The NPI profile was previously updated about 4 years ago on Jan 25, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STEPHANIE WOOLLEN below.
NPI Profile for
STEPHANIE B. WOOLLEN
(about 21 years ago)
606 BLACK RIVER ROAD
GEORGETOWN, SC 29440 Phone: (843) 520-8452 Fax:
PAWLEYS ISLAND, SC 29585-7278 Phone: Fax:
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Identifiers for STEPHANIE WOOLLEN
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | GA | 000706428V | |
| MEDICAID | SC | N06701 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RN0300X - Internal Medicine / Nephrology (Primary) |
SC | 15566 |
| 208M00000X - Hospitalist |
GA | 042002 |
| 207R00000X - Internal Medicine |
GA | 042002 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
STEPHANIE WOOLLEN is affiliated with the following medical group(s):
- HOSPITAL
- ANMED HEALTH800 N FANT ST
ANDERSON, SC 29621 - GRAND STRAND REGIONAL MEDICAL CENTER809 82ND PARKWAY
MYRTLE BEACH, SC 29572
- ANMED HEALTH800 N FANT ST
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