Active NPI
Dickerson Wellness
- Primary Care Nurse Practitioner
- Lexington, SC
National Provider Identifier
1033029749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- DICKERSON WELLNESS
- Practice address
- 1830 S Lake Dr
Box 84432
Lexington, SC 29073-9760 - Phone
- (803) 477-4745
- Fax
- (843) 258-4600
- NPI assigned
- Sep 8, 2026
- Last updated
- Sep 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Christina Jocklene Edwards, AGPCNP-C
- Title
- Nurse Practitioner/Owner
- Phone
- (803) 477-4745
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | NU | ||
| Primary Care Nurse Practitioner | 363LP2300X | NU | Primary | |
| Women's Health Nurse Practitioner | 363LW0102X | NU |
Addresses
Primary practice location
1830 S Lake Dr
Box 84432
Lexington, SC 29073-9760
Mailing address
1830 S Lake Dr
Box 84432
Lexington, SC 29073-9760
Phone (803) 477-4745
National Provider Directory
National Provider DirectoryLocations
1830 S Lake Dr
Unit 84432
Lexington, SC 29073
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788825600000",
"number": "1033029749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 S LAKE DR",
"address_2": "BOX 84432",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290739760",
"telephone_number": "803-477-4745",
"fax_number": "843-258-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 S LAKE DR",
"address_2": "BOX 84432",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290739760",
"telephone_number": "803-477-4745",
"fax_number": "843-258-4600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DICKERSON WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-08",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_middle_name": "JOCKLENE",
"authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
"authorized_official_telephone_number": "803-477-4745",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "AGPCNP-C"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.