NPIMap

Individual provider Active NPI

Cooper Gunter

  • Family Medicine Physician
  • Batesburg Leesville, SC
National Provider Identifier
1043877517
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
82529 Issued in SC
Practice address
338 E Columbia Ave
Batesburg Leesville, SC 29070-9285
Phone
(803) 332-4300
Fax
(803) 604-3263
NPI assigned
May 21, 2019
Last updated
Jul 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 82529 SC Primary

Addresses

Primary practice location

338 E Columbia Ave
Batesburg Leesville, SC 29070-9285

Mailing address

PO Box 6069
West Columbia, SC 29171-6069
Phone (803) 332-4300

Other practice location 1

155 Academy Ave
Greenwood, SC 29646-3869
Phone (864) 725-4865

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cgunter261426@selfregional.direct-ci.net

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
I20220601000713 SC Practitioner - Family Practice 2860870029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

338 E Columbia Ave
Leesville, SC 29070-9285
Phone (803) 332-4300

Hospital & facility affiliations

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington County Health Services District Inc Current Accepting new patients
Lexington Health Inc Family Medicine Current Accepting new patients
Lexington Health Inc Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Lexington Health Inc CurrentSince Jul 1, 2022 Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients

Locations

338 E Columbia Ave
Leesville, SC 29070
Phone (803) 332-4300

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

Interoperability endpoints

  • Direct secure messaging: cgunter261426@selfregional.direct-ci.net
  • Direct secure messaging: cgunter32114@direct.lexmed.com

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 3

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": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1043877517",
    "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",
            "telephone_number": "803-332-4300",
            "fax_number": "803-604-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 E COLUMBIA AVE",
            "city": "BATESBURG LEESVILLE",
            "state": "SC",
            "postal_code": "290709285",
            "telephone_number": "803-332-4300",
            "fax_number": "803-604-3263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Academy Ave",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296463869",
            "country_code": "US",
            "telephone_number": "864-725-4865",
            "fax_number": "864-725-4883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNTER",
        "first_name": "COOPER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-21",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "82529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgunter261426@selfregional.direct-ci.net",
            "affiliation": "N",
            "address_1": "155 Academy Ave",
            "city": "Greenwood",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296463869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Batesburg Leesville, SC

Sources for this page

Verify at the official NPI Registry.