MRS. MEGAN WILDEROTTER ACKERSON (NPI# 1942614607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942614607 |
| Entity Type | Individual |
| Full Name | MRS. MEGAN WILDEROTTER ACKERSON |
| Credential | PA-C |
| Practice Address |
120 Gateway Corporate Blvd Emergency Department Columbia SC 29203-9611 |
| Practice Telephone | 8032565300 |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
307587 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA2122 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Medical Center Dr, Slidell, LA 704615520 | 9856465134 | 9856465134 |
| Street Address |
120 GATEWAY CORPORATE BLVD EMERGENCY DEPARTMENT |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-9611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215932405 | Providence Hospital Northeast Transitional Care Unit | Skilled Nursing Facility | 120 Gateway Corporate Blvd, Columbia, SC 29203-9802 | 2005-06-15 |
| 1235659103 | Broad River Physicians Group, LLC | Emergency Medicine | 120 Gateway Corporate Blvd, Columbia, SC 29203-9611 | 2017-06-22 |
| 1366819138 | Ashley Templeton | Physical Therapist | 120 Gateway Corporate Blvd, Columbia, SC 29203-9611 | 2015-08-27 |
| 1811310576 | Providence Orthopedic Group, LLC | Orthopaedic Surgery | 120 Gateway Corporate Blvd, Columbia, SC 29203-9611 | 2014-01-30 |
| 1588086672 | Charles Driggers | Physician Assistant | 120 Gateway Corporate Blvd, Columbia, SC 29203-9611 | 2014-01-09 |
| 1972860344 | Jamie Edens Gilligan | Registered Nurse | 120 Gateway Corporate Blvd, Columbia, SC 29203-9611 | 2012-04-23 |
| 1639443948 | Jamie Lea Disharoon | Nurse Anesthetist, Certified Registered | 120 Gateway Corporate Blvd, Columbia, SC 29203-9611 | 2012-03-05 |
| 1740484658 | Augustine Health Group, LLC | Internal Medicine | 120 Gateway Corporate Blvd, Columbia, SC 29203-9611 | 2007-06-13 |
| 1255497202 | Michael T Hayes | Emergency Medicine | 120 Gateway Corporate Blvd, Columbia, SC 29203-9802 | 2006-12-27 |
| 1912097056 | Roy Hampton Smith | Nurse Practitioner | 120 Gateway Corporate Blvd, Emergency Department, Columbia, SC 29203-9611 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392495 | Stephanie Meyer | Physician Assistant | 5 Medical Park Road Palmetto Health, Columbia, SC 29203 | 2017-12-18 |
| 1629434279 | Jennifer Templeton | Physician Assistant | 110 Highland Center Drive, Columbia, SC 29203 | 2016-01-12 |
| 1184023871 | Candace Parker Fleming | Physician Assistant | 109 W Legion Ave, Columbia, IL 62236-2341 | 2014-08-19 |
| 1194147470 | Frederick Parker | Physician Assistant | 9 Richland Medical Park Drive, Suite 450, Columbia, SC 29203 | 2014-01-06 |
| 1780999037 | Spectrum Pain Clinics, Inc | Physician Assistant | 230 East James Campbell Blvd, Suite 102, Columbia, TN 38401 | 2010-08-11 |
| 1770728834 | Joan Chandler Hornick | Physician Assistant | 2 Medical Park Rd Ste 404, Columbia, SC 29203-6875 | 2008-12-03 |
| 1164683926 | Kimberly Shirk | Physician Assistant | 612 Saint Andrews Rd Ste 2, Columbia, SC 29210-5120 | 2008-06-24 |
| 1295869485 | Karen Traynham | Physician Assistant | 303 N Keene St Ste 301, Columbia, MO 65201-7193 | 2007-03-16 |
| 1508926817 | Nina D Garcia | Physician Assistant | 8850 Columbia 100 Pkwy Ste 316, Columbia, MD 21045-2377 | 2006-12-11 |
| 1467526418 | Tamenia Bluford Bluford | Physician Assistant | 4 N Bay Xing, Columbia, SC 29229-7507 | 2006-11-20 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on MRS. MEGAN WILDEROTTER ACKERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.