Organization Active NPI

The Wilson Affect

  • Multi-Specialty Clinic/Center
  • Columbia, SC
National Provider Identifier
1902619315
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
THE WILSON AFFECT
Doing business as
The Wilson Affect
Practice address
5 Lake Carolina Way Ste 280
Columbia, SC 29229-7563
Phone
(205) 526-6060
NPI assigned
Jan 29, 2025
Last updated
Jan 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Tanieka Ta'Sha Wilson-Myers
Title
Onwer
Phone
(205) 526-6060

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

5 Lake Carolina Way Ste 280
Columbia, SC 29229-7563

Mailing address

1014 Turtle Stone Rd
Blythewood, SC 29016-9267
Phone (205) 526-6060

Other names 1

  • The Wilson Affect Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1902619315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 TURTLE STONE RD",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290169267",
            "telephone_number": "205-526-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LAKE CAROLINA WAY STE 280",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297563",
            "telephone_number": "205-526-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WILSON AFFECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "WILSON-MYERS",
        "authorized_official_first_name": "TANIEKA",
        "authorized_official_middle_name": "TA'SHA",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "205-526-6060"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wilson Affect",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.