Nicole Wendschlag Gammon

M.D. | Pediatrics | Female

Nicole Wendschlag Gammon, M.D. is a Simpsonville, South Carolina based Pediatric doctor with medical specialization in General Pediatrics. Nicole Wendschlag Gammon is also known as Nicole Lynn Wenschlag. Current practice location of Nicole Wendschlag Gammon is 727 Se Main St Ste 320, Simpsonville, South Carolina - 29681-3249. She can be contacted on phone at 864-454-6440 and fax number 864-454-6445. Nicole Wendschlag Gammon is a sole proprietor of her business.
NPI number (Unique professional ID) for Nicole Wendschlag Gammon is 1871932673 which was assigned by NPPES on 14 Jun, 2013 and it was last updated on 08 Dec, 2022. Nicole Wendschlag Gammon license number is 35926 for Pediatrics (208000000X) in South Carolina.
Nicole Wendschlag Gammon is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Nicole Wendschlag Gammon basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Nicole Wendschlag Gammon
Other Name :Nicole Lynn Wenschlag
Credential :M.D.
Gender :Female
Business Address:
Nicole Wendschlag Gammon address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :727 Se Main St Ste 320
Simpsonville, SC, 29681-3249
United States
Phone Number :864-454-6440
Fax Number :864-454-6445
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1871932673
NPI Entity Type : Individual
First Enrolment Date : 14 Jun, 2013
Last Updated On : 08 Dec, 2022
Medicare Participation:
Nicole Wendschlag Gammon participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
Medicare PECOS ID :2769616457
Medicare Enrollment ID :I20170928004168
Primary Specialty :Pediatric Medicine
Medical School :Other
Graduation Year :2013
Accepts Medicare?Yes. Nicole Wendschlag Gammon accepts medicare insurance.
Group Practice Association:
Nicole Wendschlag Gammon is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Nicole Wendschlag Gammon is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
Organisation Name :Group Practice IDNo. of MembersPractice AddressGroup Accepts Medicare
Prisma Health University Medical Group83259509832133727 Semain St
Suite 320
Simpsonville, SC - 296813249
Ph: 8644546540
Yes
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicole Wendschlag Gammon are as mentioned. Primary taxonomy code for Nicole Wendschlag Gammon, M.D. is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
207R00000XInternal MedicineNo35926SC
207R00000XInternal MedicineNoLL35926SC
208000000XPediatricsNoLL35926SC
208000000XPediatricsYes35926SC
Legacy Identifiers:
Other legacy medical identifiers of Nicole Wendschlag Gammon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
359267MEDICAIDSC
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :300 E Mcbee Ave Fl 4
Greenville, SC, 29601-2842
United States
Business Location:
Patients can refer following map for directions to Nicole Wendschlag Gammon practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.