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

Ryan Wilson

Individual provider Family Nurse Practitioner · NPI 1124657556

Ryan Wilson is a Nurse Practitioner in Pawleys Island, South Carolina. Qualified in 2019, 7 years ago. Practices with Medcare Express - North Charleston LLC, a 69-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
7
Licensed in
SC
In the registry since
2020

Practice location Address checks out

201 Business Center Dr
Pawleys Island, SC 29585-6522
Phone: (843) 314-3209
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 23730 (SC)

Record details

NPI number1124657556
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 7, 2020
Last updated in NPPESDecember 7, 2023
Certification dateDecember 7, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Medcare Express - North Charleston Llc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Pawleys Island