Individual provider Active NPI

Ginger Lynne Irvin, M.D.

  • Vascular Surgery Physician
  • Columbia, SC
National Provider Identifier
1023217908
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
32487 Issued in SC
Practice address
3 Richland Medical Park Dr Ste 330
Columbia, SC 29203-6862
Phone
(803) 434-7100
Fax
(803) 434-6889
NPI assigned
Jul 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X ME112123 FL
Vascular Surgery Physician 2086S0129X 32487 SC Primary
Vascular Surgery Physician 2086S0129X MD32127 AL

Addresses

Primary practice location

3 Richland Medical Park Dr Ste 330
Columbia, SC 29203-6862

Mailing address

300 E McBee Ave Ste 300
Greenville, SC 29601-2899
Phone (864) 522-8603

Other practice location 1

200 Patewood Dr Ste C300
Greenville, SC 29615-6324
Phone (864) 454-8272

Other practice location 2

4615 NW 53rd Ave
Gainesville, FL 32653-4809
Phone (850) 398-2548

Other identifiers 2

IdentifierTypeStateIssuer
012102000MedicaidFL
161998MedicaidAL

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
I20240113000265 SC Practitioner - Vascular Surgery 6901054626 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2005
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)

3 Richland Medical Park Dr
Suite 330
Columbia, SC 29203-6862
Phone (803) 434-4790

Hospital & facility affiliations

  • Amedisys Home Health of Lexington Home health agency, Lexington, SC, CCN 427039
  • Prisma Health Homecare Home health agency, Columbia, SC, CCN 427013
  • Prisma Health Richland Hospital Hospital, Columbia, SC, CCN 420018
  • Prisma Health Baptist Hospital, Columbia, SC, CCN 420086
  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073
  • Prisma Health Baptist Parkridge Hospital, Columbia, SC, CCN 420106

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal28
Leg revascularization (restoring blood flow)12
Removal of tissue81
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD32127ALMDVascular Surgery Physician
ME112123FLMDVascular Surgery Physician
32487SCMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Jan 8, 2024 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Dec 18, 2025 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Dec 18, 2025 Accepting new patients
Prisma Health University Medical Group CurrentSince Jan 8, 2024 Accepting new patients
Prisma Health Medical Group-Midlands Past Accepting new patients

Locations

1333 Taylor St
Ste 1B
Columbia, SC 29201
Phone (803) 254-6391

3 Richland Medical Park Dr
Ste 330
Columbia, SC 29203
Phone (803) 434-7100

3 Richland Medical Park Dr
Ste 350
Columbia, SC 29203
Phone (803) 434-6838

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

8 Richland Medical Park Dr
Ste 200
Columbia, SC 29203

1120 Roberts Branch Pkwy
Ste 300
Columbia, SC 29203
Phone (803) 567-7508

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

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

200 Patewood Dr
Ste C300
Greenville, SC 29615
Phone (864) 454-2852

300 E McBee Ave
Ste 300
Greenville, SC 29601

Interoperability endpoints

  • Direct secure messaging: glmanos@yourcarecommunity.org
  • Direct secure messaging: gmanos740674@direct.ghs.myhfn.org

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1023217908",
    "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": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 RICHLAND MEDICAL PARK DR STE 330",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036862",
            "telephone_number": "803-434-7100",
            "fax_number": "803-434-6889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Patewood Dr Ste C300",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296156324",
            "country_code": "US",
            "telephone_number": "864-454-8272",
            "fax_number": "864-454-2875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4615 NW 53rd Ave",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326534809",
            "country_code": "US",
            "telephone_number": "850-398-2548",
            "fax_number": "850-398-2548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRVIN",
        "first_name": "GINGER",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME112123",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "SC",
            "license": "32487",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AL",
            "license": "MD32127",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012102000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161998",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.