Individual provider Active NPI

Lynzi Rena Branham, APRN

  • Family Nurse Practitioner
  • Kershaw, SC
National Provider Identifier
1083401202
Registry record updated Nov 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.30291 Issued in SC
Practice address
505 Woodland Dr
Kershaw, SC 29067-1704
Phone
(803) 784-4429
NPI assigned
Apr 22, 2025
Last updated
Nov 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.30291 SC Primary
Registered Nurse 163W00000X 249066 SC

Addresses

Primary practice location

505 Woodland Dr
Kershaw, SC 29067-1704

Mailing address

311 N Main St
Lancaster, SC 29720-2131
Phone (803) 960-7333

Other practice location 1

311 N Main St
Lancaster, SC 29720-2131
Phone (803) 285-2014

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
I20251106002125 SC Practitioner - Nurse Practitioner 6800386004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Behavioral Healthcare, LLCGroup PAC ID 0143586800, 3 clinicians

Practice addresses (Care Compare)

Kershaw, SC 29067
Phone (803) 283-7465

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
249066SCMDRegistered Nurse
APN.30291SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Behavioral Healthcare LLC CurrentSince Aug 22, 2025 Accepting new patients

Organizations & group practices 1

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 1

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": "1745280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762646400000",
    "number": "1083401202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N MAIN ST",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202131",
            "telephone_number": "803-960-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 WOODLAND DR",
            "city": "KERSHAW",
            "state": "SC",
            "postal_code": "290671704",
            "telephone_number": "803-784-4429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 N Main St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "SC",
            "postal_code": "297202131",
            "country_code": "US",
            "telephone_number": "803-285-2014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANHAM",
        "first_name": "LYNZI",
        "middle_name": "RENA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-11-09",
        "certification_date": "2025-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN.30291",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "249066",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kershaw, SC

Sources for this page

Verify at the official NPI Registry.