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

Wilmot R Gissendanner IV

Individual provider Physician Assistant · NPI 1578426441

Wilmot R Gissendanner IV is a Physician Assistant in Orangeburg, South Carolina. Qualified in 2025, 1 year ago. Practices with MUSC Community Physicians, a 1,339-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
1
Licensed in
SC
In the registry since
2025

Practice location Address checks out

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone: (803) 395-2871
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (SC)

Record details

NPI number1578426441
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 6, 2025
Last updated in NPPESDecember 6, 2025
Certification dateDecember 6, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Musc Community Physicians — 1339 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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