Individual provider Active NPI

William Houston Cobb, PA-C

  • Physician Assistant
  • Columbia, SC
National Provider Identifier
1306268008
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4842 Issued in SC
Practice address
3016 Longtown Commons Dr Ste 200
Columbia, SC 29229-7863
Phone
(803) 314-9640
Fax
(803) 314-9641
NPI assigned
Jan 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1115651 KY
Physician Assistant 363A00000X 4842 SC Primary

Addresses

Primary practice location

3016 Longtown Commons Dr Ste 200
Columbia, SC 29229-7863

Mailing address

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone (270) 798-8400

Other practice location 1

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone (270) 798-8400

Other practice location 2

1111 Knox Abbott Dr
Cayce, SC 29033-3323
Phone (803) 314-0660

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address wcobb175913@direct.lexmed.com
Direct Messaging Address wcobb175913@direct.lexmed.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230802004360 SC Practitioner - Physician Assistant 3072974369 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1115651KYMDPhysician Assistant
4842SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc CurrentSince May 1, 2024 Accepting new patients
Lexington Health Inc CurrentSince May 1, 2024 Accepting new patients

Locations

1111 Knox Abbott Dr
Cayce, SC 29033
Phone (803) 314-0660

3016 Longtown Commons Dr
Ste 200
Columbia, SC 29229
Phone (803) 314-9640

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1306268008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 JOEL DR",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235318",
            "telephone_number": "270-798-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 LONGTOWN COMMONS DR STE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297863",
            "telephone_number": "803-314-9640",
            "fax_number": "803-314-9641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Joel Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Campbell",
            "state": "KY",
            "postal_code": "422235318",
            "country_code": "US",
            "telephone_number": "270-798-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Knox Abbott Dr",
            "address_purpose": "LOCATION",
            "city": "Cayce",
            "state": "SC",
            "postal_code": "290333323",
            "country_code": "US",
            "telephone_number": "803-314-0660",
            "fax_number": "803-314-0661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COBB",
        "first_name": "WILLIAM",
        "middle_name": "HOUSTON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-14",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "1115651",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wcobb175913@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "3016 Longtown Commons Dr Ste 200",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292297863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wcobb175913@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "3016 Longtown Commons Dr Ste 200",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292297863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.