Individual provider Active NPI

Megan Crandall Lybrand, NP

  • Gerontology Nurse Practitioner
  • Sumter, SC
National Provider Identifier
1033612627
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
21599 Issued in SC
Practice address
115 N Sumter St Ste 315
Sumter, SC 29150-4967
Phone
(803) 774-9787
Fax
(803) 774-9781
NPI assigned
Mar 9, 2018
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 21599 SC
Gerontology Nurse Practitioner 363LG0600X 21599 SC Primary

Addresses

Primary practice location

115 N Sumter St Ste 315
Sumter, SC 29150-4967

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

3285 Britton Rd
Sumter, SC 29153-9756
Phone (803) 468-6080

Other practice location 2

129 N Washington St
Sumter, SC 29150
Phone (803) 774-9000

Other practice location 3

8 Richland Medical Park Dr Ste 420
Columbia, SC 29203-8004
Phone (803) 545-6050

Other identifiers 1

IdentifierTypeStateIssuer
NP5234MedicaidSC

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180716002364 SC Practitioner - Nurse Practitioner 6103173661 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Health ClarendonGroup PAC ID 0840582656, 60 clinicians
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

10 E Hospital St
Manning, SC 29102-3153
Phone (803) 435-8463

129 N Washington St
Sumter, SC 29150-4949
Phone (803) 774-9680

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
21599SCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Health Clarendon CurrentSince Jan 31, 2022 Accepting new patients
Prisma Health Medical Group-Midlands Current Accepting new patients
McLeod Health Clarendon CurrentSince Jan 31, 2022 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Jul 29, 2018 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Jul 29, 2018 Accepting new patients

Locations

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

8 Richland Medical Park Dr
Ste 420
Columbia, SC 29203
Phone (803) 434-8050

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

10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000

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

115 N Sumter St
Ste 315
Sumter, SC 29150
Phone (803) 774-9787

115 N Sumter St
Ste 400
Sumter, SC 29150
Phone (803) 774-7425

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

Interoperability endpoints

  • Direct secure messaging: mlybrand32543@directmcleodehealth.org
  • Direct secure messaging: mlybrand381685@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1033612627",
    "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": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N SUMTER ST STE 315",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504967",
            "telephone_number": "803-774-9787",
            "fax_number": "803-774-9781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3285 Britton Rd",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291539756",
            "country_code": "US",
            "telephone_number": "803-468-6080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "129 N Washington St",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "29150",
            "country_code": "US",
            "telephone_number": "803-774-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Richland Medical Park Dr Ste 420",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292038004",
            "country_code": "US",
            "telephone_number": "803-545-6050",
            "fax_number": "803-933-3005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYBRAND",
        "first_name": "MEGAN",
        "middle_name": "CRANDALL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-09",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "21599",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "21599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP5234",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.