Individual provider Active NPI

Wilson Alley, MD

  • Surgery Physician
  • Long Branch, NJ
National Provider Identifier
1811487101
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
45419 Issued in AL
Practice address
300 2ND Ave
Long Branch, NJ 07740-6395
Phone
(205) 718-1983
NPI assigned
May 13, 2018
Last updated
Oct 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 45419 AL Primary

Addresses

Primary practice location

300 2ND Ave
Long Branch, NJ 07740-6395

Mailing address

380 Woods Cove Road
Scottsboro, AL 35768-6656
Phone (256) 259-0185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230828001910 AL Practitioner - General Surgery 0143683987 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Alabama School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highlands Professional ServicesGroup PAC ID 0648666198, 20 clinicians

Practice addresses (Care Compare)

380 Woods Cove Rd
Scottsboro, AL 35768-2428
Phone (256) 218-3405

408 Taylor St
Scottsboro, AL 35768-2424
Phone (256) 259-5211

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy65
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux56
Melanoma (skin cancer) excision49
Removal of tissue163
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45419ALMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Helen Keller Specialty Care Surgery CurrentSince Dec 1, 2025 Accepting new patients
Highlands Professional Services Surgery CurrentSince Aug 1, 2023 Accepting new patients
Scottsboro OB GYN Specialists LLC Current Accepting new patients
NW Alabama Practice Management, LLC PastSince Jan 4, 2021 Accepting new patients
HH Health System - Jackson LLC Past Accepting new patients

Locations

380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579

380 Woods Cove Rd
Ste B
Scottsboro, AL 35768
Phone (256) 259-0185

408 Taylor St
Scottsboro, AL 35768
Phone (256) 259-5211

507 Harley St
Scottsboro, AL 35768
Phone (256) 259-0061

1100 S Jackson Hwy
Ste 250
Sheffield, AL 35660
Phone (256) 381-6673

1120 S Jackson Hwy
Ste 105
Sheffield, AL 35660
Phone (256) 386-1125

1300 S Montgomery Ave
Sheffield, AL 35660
Phone (256) 386-4005

Interoperability endpoints

  • Direct secure messaging: wilson.alley.1@29332.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1526169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1811487101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 WOODS COVE ROAD",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357686656",
            "telephone_number": "256-259-0185",
            "fax_number": "256-259-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 2ND AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406395",
            "telephone_number": "205-718-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEY",
        "first_name": "WILSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-13",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "45419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Branch, NJ

Sources for this page

Verify at the official NPI Registry.