MEDICARE: S&S MEDICAL WELLNESS SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	163WS0121X	Plastic Surgery Registered Nurse
2	163WW0000X	Wound Care Registered Nurse
3	261QM1300X	Multi-Specialty Clinic/Center
4	363LP2300X	Primary Care Nurse Practitioner
5	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1386508893
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	S&S MEDICAL WELLNESS SERVICES

Provider Business Mailing Address
First Line	:	11637 PARRISH CREEK LN
Second Line	:
City	:	CHESTERFIELD
State	:	VA
Zip	:	23832-4074
Country	:	US
Telephone Number	:	804-316-1204
Fax Number	:

Provider Business Practice Location Address
First Line	:	509 TWINRIDGE LN
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-5266
Country	:	US
Telephone Number	:	804-316-1204
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	ERICA WILLIAMS
Credential	:	NP
Telephone Number	:	804-316-1204

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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