Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeffrey John Wisinski, DO

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1275989667

Jeffrey John Wisinski, DO is a Family Practice in Columbia, South Carolina. Graduated from Lake Erie Col of Osteopathic Medicine, Bradenton in 2016, 10 years ago. Practices with Prisma Health Medical Group-Midlands, a 1,018-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania and South Carolina.

Years since qualifying
10
Trained at
Lake Erie Col of Osteopathic Medicine, Bradenton
Licensed in
PA, SC
In the registry since
2016
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3209 Colonial Dr
Columbia, SC 29203-6930
Phone: (803) 434-6113
Fax: (803) 758-0106
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1850 E Park Ave Ste 112, State College, PA 16803-6706 — (814) 865-3566

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 87924 (SC)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence OS020477 (PA)

Record details

NPI number1275989667
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 4, 2016
Last updated in NPPESMarch 6, 2023
Certification dateMarch 6, 2023
Mailing address300 E McBee Ave Fl 4, Greenville, SC 29601-2842

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLAKE ERIE COL OF OSTEOPATHIC MEDICINE, BRADENTON
Graduated 2016 (10 years in practice)
Group practice Prisma Health Medical Group-Midlands — 1018 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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