Andrea Wilderom, DC
NPI 1134984107ActiveIndividual· Chiropractor· West Columbia, SC
Chiropractor (DC) with Cccwc, LLC, practicing in West Columbia, South Carolina. Enrolled in Medicare as practitioner - chiropractic.
Overview
| NPI | 1134984107 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DC |
| Sole proprietor | No |
| NPI issued | Feb 19, 2024 |
| Last updated in NPPES | Mar 4, 2024 |
| Certified by provider | Mar 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 5058 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Chiropractic (SC) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Chiropractic |
Medical group
- Cccwc, LLCWest Columbia, SC · 2 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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