OrganizationActiveAccepts Medicare
Warren D. Gibson
NPI 1508057779 · Prosthetic/Orthotic Supplier · Conway, SC
Enrolled with Medicare as Dme Supplier - Prosthetic Personnel · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1508057779
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Warren Gibson, Pratitioner(843) 347-7281
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1629 Highway 544
Conway, SC 29526-8452
Phone: (843) 347-7281
Fax: (843) 347-9785
Street-level locationGet directions
Mailing address
1629 Highway 544
Conway, SC 29526-8452
Other names (DBA / former)
- Doing business as
- Waccamaw Prosthetics and Orthotics
Registry dates
- Enumerated
- 2007-08-05
- Last updated
- 2008-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.