Individual provider Active NPI

Clarence E Coker III, MD

  • Family Medicine Physician
  • Lexington, SC
National Provider Identifier
1003891508
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21231 Issued in SC
Practice address
2006 Augusta Hwy
Lexington, SC 29072-2208
Phone
(803) 785-4747
Fax
(803) 785-4750
NPI assigned
Dec 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) Physician 207QS1201X 21231 SC
Family Medicine Physician 207Q00000X 21231 SC Primary

Addresses

Primary practice location

2006 Augusta Hwy
Lexington, SC 29072-2208

Mailing address

PO Box 6069
West Columbia, SC 29171-6069

Other identifiers 2

IdentifierTypeStateIssuer
GP1370MedicaidSC
GP4819MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ccoker11264@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20060726000351 SC Practitioner - Family PracticePractitioner - Other (Physician) 5597778159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

103 Summit Centre Dr
Columbia, SC 29229-7613
Phone (803) 382-2450

109 Barton Creek CT
Columbia, SC 29229-8027
Phone (803) 256-2286

122 Powell Dr
Lexington, SC 29072-9203
Phone (803) 957-8400

2006 Augusta Hwy
Lexington, SC 29072-2208
Phone (803) 785-4747

2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 791-2460

3314 Platt Springs Rd
West Columbia, SC 29170-2204
Phone (803) 739-9854

4080 Augusta Hwy
Gilbert, SC 29054-8893

5143 Forest Dr
Columbia, SC 29206-4918

5535 Platt Springs Rd
Lexington, SC 29073-7519
Phone (803) 314-9510

557 Columbia Ave
Chapin, SC 29036-8324

565 Columbia Ave
Chapin, SC 29036-8324

7035 Saint Andrews Rd
Columbia, SC 29212-1177
Phone (803) 407-4100

7037 Saint Andrews Rd
Columbia, SC 29212-1177
Phone (803) 732-0963

7043 Saint Andrews Rd
Columbia, SC 29212-1177
Phone (803) 791-2683

7045 Saint Andrews Rd
Columbia, SC 29212-1177
Phone (803) 936-7590

707 Old Cherokee Rd
Lexington, SC 29072-9040
Phone (803) 314-9110

76 Polo Rd
Columbia, SC 29223-2806
Phone (803) 699-7255

811 W Main St
Lexington, SC 29072-2500

Hospital & facility affiliations

  • Amedisys Home Health of Lexington Home health agency, Lexington, SC, CCN 427039
  • Medical Services of America Home Health Home health agency, Irmo, SC, CCN 427010
  • Centerwell Home Health Home health agency, Columbia, SC, CCN 427061
  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21231SCMDSleep Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Lexington Health Inc Family Medicine Current Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Palmetto Infusion Services LLC Past Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients
Georgetown Physician Associates, LLC Family Medicine PastSince Jul 15, 2012 Accepting new patients

Locations

109 Barton Creek Ct
Ste A
Columbia, SC 29229
Phone (803) 791-2683

122 Powell Dr
Lexington, SC 29072
Phone (803) 957-8400

2006 Augusta Hwy
Lexington, SC 29072
Phone (803) 358-6400

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

3314 Platt Springs Rd
West Columbia, SC 29170
Phone (803) 791-3494

2728 Sunset Blvd
Ste 104
West Columbia, SC 29169
Phone (803) 791-2683

Interoperability endpoints

  • Direct secure messaging: ccoker11264@direct.lexmed.com

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 4

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": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1003891508",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 AUGUSTA HWY",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722208",
            "telephone_number": "803-785-4747",
            "fax_number": "803-785-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COKER",
        "first_name": "CLARENCE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "SC",
            "license": "21231",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "21231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1370",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4819",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccoker11264@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "2006 Augusta Hwy",
            "city": "Lexington",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290722208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

Verify at the official NPI Registry.