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

Individual provider Certified Registered Nurse Anesthetist · NPI 1215257001

Mr. Dwayne F. McVicker, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Columbia, South Carolina. Graduated from University of South Carolina School of Medicine in 2010, 16 years ago. Practices with Tidelands Anesthesia Group LLC, a 51-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
16
Trained at
University of South Carolina School of Medicine
Licensed in
SC
In the registry since
2010
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

5 Richland Medical Park Dr
Columbia, SC 29203-6863
Phone: (803) 434-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4206 (SC)

Record details

NPI number1215257001
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 3, 2010
Last updated in NPPESJune 3, 2010

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Tidelands Anesthesia Group Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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