NPIMap

Individual provider Active NPI

Alexander Morse Wagner, M.D.

  • Pediatric Sports Medicine Physician
  • Columbia, SC
National Provider Identifier
1972955623
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Sports Medicine PhysicianTaxonomy code 2080S0010X
License
39761 Issued in SC
Practice address
2 Medical Park Rd Ste 104
Columbia, SC 29203-6839
Phone
(803) 434-7832
NPI assigned
Jul 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Sports Medicine Physician 2080S0010X 39761 SC Primary

Addresses

Primary practice location

2 Medical Park Rd Ste 104
Columbia, SC 29203-6839

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 695-6697

Other practice location 1

104 Saluda Pointe Dr
Lexington, SC 29072-7295
Phone (803) 296-7846

Other identifiers 1

IdentifierTypeStateIssuer
397617MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address awagner385784@direct.ghs.myhfn.org Health Information Exchange (HIE)

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
I20200716002524 SC Practitioner - Sports MedicinePractitioner - Pediatric MedicinePractitioner - Hospitalist 1658795158 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Pediatric Medicine
Education
University of South Carolina School of Medicine, 2016
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)

104 Saluda Pointe Dr
Lexington, SC 29072-7295
Phone (803) 296-7846

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands CurrentSince Feb 2, 2021 Accepting new patients
Prisma Health Tuomey CurrentSince Jul 1, 2020 Accepting new patients
Prisma Health Medical Group-Midlands Pediatrics Current Accepting new patients
Prisma Health Medical Group-Midlands Hospitalist Current Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Feb 2, 2021 Accepting new patients
Prisma Health Tuomey CurrentSince Jul 1, 2020 Accepting new patients

Locations

14 Richland Medical Park Dr
Ste 200
Columbia, SC 29203
Phone (803) 296-9200

1120 Roberts Branch Pkwy
#200
Columbia, SC 29203

2 Medical Park Rd
Ste 104
Columbia, SC 29203
Phone (803) 434-6781

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

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

104 Saluda Pointe Dr
Lexington, SC 29072
Phone (803) 296-9200

129 N Washington St
Sumter, SC 29150
Phone (803) 774-1752

115 N Sumter St
Ste 110
Sumter, SC 29150
Phone (803) 774-5249

Organizations & group practices 6

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 10

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": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1972955623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-695-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PARK RD STE 104",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036839",
            "telephone_number": "803-434-7832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Saluda Pointe Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290727295",
            "country_code": "US",
            "telephone_number": "803-296-7846",
            "fax_number": "803-296-9699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ALEXANDER",
        "middle_name": "MORSE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-06",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": "SC",
            "license": "39761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "397617",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awagner385784@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "129 N Washington St",
            "city": "Sumter",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291504949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.