Active NPI
Ayana Maia Wilson, MD
- Emergency Medicine Physician
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2017-00631
- Practice address
- 2 Medical Park
Ste. 208 OB/GYN -
Columbia, SC 29203 - Phone
- (803) 779-4928
- Fax
- (803) 434-4699
- NPI assigned
- Jun 28, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2017-00631 | NC | Primary |
Addresses
Primary practice location
2 Medical Park
Ste. 208 OB/GYN -
Columbia, SC 29203
Mailing address
4535 Dressler Rd NW
Canton, OH 44718
Phone (757) 513-8844
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Michigan State University College of Human Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.82 of 100
- Quality
- 84.07
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017-00631 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastonia Physician Services, PLLC | Emergency Medicine | Current | Accepting new patients |
| Gastonia Physician Services, PLLC | Emergency Medicine | Current | Accepting new patients |
| Gastonia Physician Services, PLLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| University Specialty Clinics - Obstetrics/Gynecology | Past | Accepting new patients |
Locations
2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Gastonia, NC
- NPI 1316367691
-
- Urgent Care Clinic/Center
- Charleston, SC
- NPI 1457579617
-
- Emergency Medicine Physician
- Mount Holly, NC
- NPI 1023416708
-
- Emergency Medicine Physician
- Belmont, NC
- NPI 1104644004
-
- Obstetrics & Gynecology Physician
- Columbia, SC
- NPI 1306878780
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gastonia, NC
- NPI 1013918960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497830400000",
"number": "1376839316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4535 DRESSLER RD NW",
"city": "CANTON",
"state": "OH",
"postal_code": "44718",
"telephone_number": "757-513-8844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MEDICAL PARK",
"address_2": "STE. 208 OB/GYN -",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29203",
"telephone_number": "803-779-4928",
"fax_number": "803-434-4699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "AYANA",
"middle_name": "MAIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-28",
"last_updated": "2017-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "2017-00631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.