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

Mr. John Caleb Wates, APRN-BC, FNP

Individual provider Family Nurse Practitioner · NPI 1639284938

Mr. John Caleb Wates, APRN-BC, FNP is a Nurse Practitioner in Edgefield, South Carolina. Graduated from Medical College of Georgia School of Medicine in 2006, 20 years ago. Practices with Self Regional Healthcare Partners, a 35-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
20
Trained at
Medical College of Georgia School of Medicine
Licensed in
SC
In the registry since
2006
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

155 Ridge Medical Plaza Rd
Edgefield, SC 29824-4531
Phone: (803) 637-3146
Fax: (803) 637-6597
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F3009 (SC)

Record details

NPI number1639284938
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN-BC , FNP
Sole proprietorNo
NPI enumeratedAugust 20, 2006
Last updated in NPPESDecember 28, 2021
Certification dateDecember 28, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Self Regional Healthcare Partners — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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