Individual provider Active NPI

Addison Graves Wilson Jr., MD

  • Orthopaedic Surgery Physician
  • Beaufort, SC
National Provider Identifier
1770660060
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD40144 Issued in SC
Practice address
1 Pinckney Blvd
Beaufort, SC 29902-6122
Phone
(843) 228-5455
NPI assigned
Nov 1, 2006
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD40144 SC Primary

Addresses

Primary practice location

1 Pinckney Blvd
Beaufort, SC 29902-6122

Mailing address

1 Pinckney Blvd
Beaufort, SC 29902-6122
Phone (843) 228-5455

Other practice location 1

4901 Dawn Dr Ste 2300
Lumberton, NC 28360-8287
Phone (910) 738-1065

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL other Other
Direct Messaging Address awilson1091116@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC, IL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170613001175 SC Practitioner - Orthopedic Surgery 5092885277 Reassigns benefits to 2 organizations
I20231117000378 NC Practitioner - Orthopedic Surgery 5092885277 Reassigns benefits to 2 organizations
I20240124002960 IL Practitioner - Orthopedic Surgery 5092885277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora South Carolina LLCGroup PAC ID 3173766334, shared by 6 NPIs, 220 clinicians
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

18 Professional Village Cir
Beaufort, SC 29907-1570
Phone (843) 986-9670

4901 Dawn Dr
Suite 2300
Lumberton, NC 28360-8287
Phone (910) 738-1065

75 Baylor Dr
Suite 155
Bluffton, SC 29910-8965
Phone (843) 379-9913

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD40144SCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC Orthopaedic Surgery Current Accepting new patients
Musc Community Physicians CurrentSince Sep 6, 2023 Accepting new patients
Hilton Head Regional Physician Group LLC CurrentSince Jul 12, 2025 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 16, 2023 Accepting new patients
Hilton Head Regional Physician Group LLC CurrentSince Jul 12, 2025 Accepting new patients
Novant Health Medical Group, LLC Orthopaedic Surgery CurrentSince Dec 16, 2023 Accepting new patients
Unc Physicians Network LLC General Practice CurrentSince Dec 1, 2023 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Grand Strand Specialty Associates, LLC Orthopaedic Surgery CurrentSince Oct 1, 2024 Accepting new patients
Musc Community Physicians Orthopaedic Surgery Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Feb 1, 2024 Accepting new patients
Musc Community Physicians CurrentSince Sep 6, 2023 Accepting new patients
Hilton Head Regional Physician Group LLC Past Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

1918 Randolph Rd
Ste 130
Charlotte, NC 28207
Phone (704) 316-6005

4741 Randolph Rd
#100
Charlotte, NC 28211
Phone (704) 365-6730

4741 Randolph Rd
Ste 100200
Charlotte, NC 28211
Phone (704) 365-6730

4901 Dawn Dr
Ste 2300
Lumberton, NC 28360
Phone (910) 738-1065

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

75 Baylor Dr
Ste 155
Bluffton, SC 29910
Phone (843) 645-8220

8 Hospital Center Blvd
Ste 130
Hilton Head Island, SC 29926
Phone (843) 682-2740

95 Sea Island Pkwy
Ste 102
Ladys Island, SC 29907
Phone (843) 379-9913

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

920 Doug White Dr
Ste 130
Myrtle Beach, SC 29572
Phone (843) 497-6348

1175 Cook Rd
Orangeburg, SC 29118
Phone (803) 395-2579

1175 Cook Rd
Ste 215
Orangeburg, SC 29118
Phone (803) 395-3837

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

Interoperability endpoints

  • Direct secure messaging: addison.wilson.1@30548.direct.athenahealth.com
  • Direct secure messaging: awilson1091116@direct.unc.nchie.net
  • Direct secure messaging: awilson1236279@direct.novanthealth.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1770660060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PINCKNEY BLVD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026122",
            "telephone_number": "843-228-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PINCKNEY BLVD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026122",
            "telephone_number": "843-228-5455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4901 Dawn Dr Ste 2300",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283608287",
            "country_code": "US",
            "telephone_number": "910-738-1065",
            "fax_number": "910-738-5143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ADDISON",
        "middle_name": "GRAVES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "MD40144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "other",
            "affiliation": "N",
            "endpointDescription": "other",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "1 Pinckney Blvd",
            "city": "Beaufort",
            "state": "SC",
            "country_code": "US",
            "postal_code": "299026122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awilson1091116@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "4901 Dawn Dr Ste 2300",
            "city": "Lumberton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283608287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.