NPIMap

Individual provider Active NPI

Alex Mary Logan Wilson, DO

  • Internal Medicine Physician
  • Columbia, SC
National Provider Identifier
1942620257
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
90103 Issued in SC
Practice address
233 Longtown Rd
Columbia, SC 29229-8550
Phone
(803) 865-2122
Fax
(803) 865-1464
NPI assigned
Apr 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 90103 SC Primary
Internal Medicine Physician 207R00000X 201047 NC

Addresses

Primary practice location

233 Longtown Rd
Columbia, SC 29229-8550

Mailing address

PO Box 6069
West Columbia, SC 29171-6069
Phone (803) 865-2122

Other practice location 1

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-7272

Other practice location 2

1814 Westchester Dr Ste 301
High Point, NC 27262
Phone (336) 802-2025

Other practice location 3

7033 Saint Andrews Rd Ste 305
Columbia, SC 29212-1181
Phone (803) 936-7480

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address awilson169872@direct.lexmed.com
Direct Messaging Address awilson169872@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180719003062 NC Practitioner - Internal Medicine 6507087848
I20231101003365 SC Practitioner - Internal Medicine 6507087848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

233 Longtown Rd
Columbia, SC 29229-8550
Phone (803) 865-2122

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201047NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc Current Accepting new patients
Lexington Health Inc Internal Medicine CurrentSince Nov 14, 2023 Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Lexington Health Inc Internal Medicine CurrentSince Nov 14, 2023 Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients

Locations

7033 Saint Andrews Rd
Ste 305
Columbia, SC 29212
Phone (803) 749-9920

233 Longtown Rd
Columbia, SC 29229
Phone (803) 788-0268

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

Interoperability endpoints

  • Direct secure messaging: awilson169872@direct.lexmed.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 and National Provider Directory roles.

Hospital & facility affiliations 12

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": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1942620257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069",
            "telephone_number": "803-865-2122",
            "fax_number": "803-865-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 LONGTOWN RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298550",
            "telephone_number": "803-865-2122",
            "fax_number": "803-865-1464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N Elm St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011004",
            "country_code": "US",
            "telephone_number": "336-832-7272",
            "fax_number": "336-832-8641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1814 Westchester Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "27262",
            "country_code": "US",
            "telephone_number": "336-802-2025",
            "fax_number": "336-802-2026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7033 Saint Andrews Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292121181",
            "country_code": "US",
            "telephone_number": "803-936-7480",
            "fax_number": "803-936-7481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ALEX",
        "middle_name": "MARY LOGAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-25",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "90103",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "201047",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awilson169872@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "233 Longtown Rd",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292298550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awilson169872@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "233 Longtown Rd",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292298550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.