Active NPI
Addison Graves Wilson Jr., MD
- Orthopaedic Surgery Physician
- Beaufort, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD40144
- Practice address
- 1 Pinckney Blvd
Beaufort, SC 29902-6122 - Phone
- (843) 228-5455
- NPI assigned
- Nov 1, 2006
- Last updated
- Feb 5, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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 LLC
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
- Aveanna Home Health
- Amedisys Home Health of Bluffton
- Coastal Carolina Hospital
- Novant Health Hilton Head Medical Center
- Southeastern Regional Medical Center
- Beaufort County Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD40144 | SC | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Medical Group, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Musc Community Physicians | Current | Accepting new patients | |
| Hilton Head Regional Physician Group LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Hilton Head Regional Physician Group LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Unc Physicians Network LLC | General Practice | Current | 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 | Current | Accepting new patients |
| Musc Community Physicians | Orthopaedic Surgery | Current | Accepting new patients |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Musc Community Physicians | Current | 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
- addison.wilson.1@30548.direct.athenahealth.com
- awilson1091116@direct.unc.nchie.net
- 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.
-
- Internal Medicine Physician
- Bluffton, SC
- NPI 1548021694
-
dba UNC Family Medicine at Pittsboro
- Family Medicine Physician
- Pittsboro, NC
- NPI 1750704367
-
dba MUSC Community Physicians Specialty
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
Orthopaedic Surgery
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Orthopaedic Surgery Physician
- Myrtle Beach, SC
- NPI 1821398512
-
dba Wound Healing Center
- Surgery Physician
- Bluffton, SC
- NPI 1295596708
-
dba MUSC Health Primary Care - Bowman
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
dba MUSC Community Physicians PC
- Family Medicine Physician
- Bamberg, SC
- NPI 1992383145
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
dba NHMG Orthopedic Clinics
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1558084772
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaufort, SC
- NPI 1366436073
-
dba Amedisys Home Health of Bluffton
- Home Health Agency
- Bluffton, SC
- NPI 1215110226
-
dba Aveanna Home Health
- Home Health Agency
- Hardeeville, SC
- NPI 1821705021
-
dba Novant Health Hilton Head Medical Center
- General Acute Care Hospital
- Hilton Head Island, SC
- NPI 1902675101
-
dba Novant Health Coastal Carolina Hospital
- General Acute Care Hospital
- Hardeeville, SC
- NPI 1205605409
-
dba UNC Health Southeastern
- General Acute Care Hospital
- Lumberton, NC
- NPI 1427030774
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.