William a Wells MD LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

WILLIAM A WELLS MD LLC

Practice address

4711 Sunset Blvd
Lexington, SC 29072-9151

Phone

(803) 626-9164

NPI assigned

Jun 13, 2023

Last updated

Sep 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alicia Brosius

Title

Administrator

Phone

(805) 210-5491

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

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.

• William A Wells, MD

  • Facial Plastic Surgery Physician
  • Lexington, SC
  • NPI 1194799965
  Medicare reassignment NPD
• Virginia Bailey Blount, FNP-C

  • Family Nurse Practitioner
  • Augusta, GA
  • NPI 1770360620
  NPD (past)

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1376227041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 SUNSET BLVD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 SUNSET BLVD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729151",
            "telephone_number": "803-626-9164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 W Wheeler Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309091899",
            "country_code": "US",
            "telephone_number": "706-786-0315",
            "fax_number": "706-786-0316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILLIAM A WELLS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "BROSIUS",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-210-5491"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wild Smiles, LLC
• Garner Johnson Wild, MD
• Graham Leonard Wilde, PH.D.
• Melissa Rae Wilges
• Ashleigh Wilkes
• Camelia Williams
• Claretha Michelle Williams
• Elizabeth Williams
• Heather Taylor Williams, MA, CCC-SLP
• Jacqueline Williams

• Otolaryngology Physician in Lexington, SC
• Providers in Lexington, SC by specialty
• Otolaryngology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.