Alexandra Shea Williams, AGNP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

28006 Issued in SC

Practice address

109 Bentz Rd
Piedmont, SC 29673-1412

Phone

(864) 845-5177

NPI assigned

Apr 11, 2024

Last updated

Apr 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Alex Williams Other name

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Careconnectmd South Carolina P.C.

  • Geriatric Medicine (Internal Medicine) Physician
  • Mount Pleasant, SC
  • NPI 1306565973

  Multi-Specialty

  Medicare reassignment NPD
• Physicians Services Group, P.C.

  • Multi-Specialty Clinic/Center
  • Greenville, SC
  • NPI 1700357076
  Medicare reassignment NPD
• Psgsc MSSP, P.C.

  • Multi-Specialty Clinic/Center
  • Greenville, SC
  • NPI 1417839754
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1245083872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 CHRISTIANE WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BENTZ RD",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296731412",
            "telephone_number": "864-845-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ALEXANDRA",
        "middle_name": "SHEA",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "28006",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "28006",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "28006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "WILLIAMS",
            "credential": "AGNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Horace E Walpole Jr., MD
• Robert Fitzgerald Ware
• Jernae Webb
• Jonathan Daniel Whitten, BOCO
• Dana Lee Wiley, MD
• Kristin Anne Williamson, LISW-CP
• Jasmine Wilson, FNP
• Stephanie Jean Wilson
• Summer Angel Wilson, RN
• Yadira Baez-Lockard, Psy.D. LLC

• Adult Health Nurse Practitioner in Piedmont, SC
• Providers in Piedmont, SC by specialty
• Adult Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.