NPIMap

Individual provider Active NPI

Alexandria Hawkinson

  • Physician Assistant
  • Irmo, SC
National Provider Identifier
1962209411
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5890 Issued in SC
Practice address
1079 Dutch Fork Rd
Irmo, SC 29063-8725
Phone
(803) 749-8900
Fax
(803) 749-8899
NPI assigned
Mar 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 5890 SC Primary

Addresses

Primary practice location

1079 Dutch Fork Rd
Irmo, SC 29063-8725

Mailing address

300 E McBee Ave Ste 300
Greenville, SC 29601-2899
Phone (864) 522-8611

Other practice location 1

6311 Garners Ferry Rd
Columbia, SC 29209-1445
Phone (803) 216-3300

Other names 1

  • Alexis Hawkinson Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250917002861 SC Practitioner - Physician Assistant 5496259020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

105 Ellett Rd
Chapin, SC 29036-9836
Phone (803) 907-8790

1079 Dutch Fork Rd
Irmo, SC 29063-8725
Phone (803) 749-8900

2 Medical Park Rd
Suite 506
Columbia, SC 29203-6876
Phone (803) 540-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands CurrentSince Aug 25, 2025 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Aug 25, 2025 Accepting new patients

Locations

105 Ellett Rd
Ste 401
Chapin, SC 29036
Phone (803) 907-8790

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

1079 Dutch Fork Rd
Irmo, SC 29063
Phone (803) 749-8900

Interoperability endpoints

  • Direct secure messaging: ahawkinson758657@direct.ghs.myhfn.org

Organizations & group practices 2

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 8

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": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1962209411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012899",
            "telephone_number": "864-522-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 DUTCH FORK RD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290638725",
            "telephone_number": "803-749-8900",
            "fax_number": "803-749-8899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6311 Garners Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292091445",
            "country_code": "US",
            "telephone_number": "803-216-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKINSON",
        "first_name": "ALEXANDRIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "5890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "HAWKINSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Irmo, SC

Sources for this page

Verify at the official NPI Registry.