Individual provider Active NPI

Colby Kalee Bounds-Sellers, FNP

  • Nurse Practitioner
  • Lexington, SC
National Provider Identifier
1083550479
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
31807 Issued in SC
Practice address
105 Brevard Pkwy
Lexington, SC 29073-7265
Phone
(803) 951-1880
Fax
(803) 951-0384
NPI assigned
Apr 27, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 31807 SC Primary

Addresses

Primary practice location

105 Brevard Pkwy
Lexington, SC 29073-7265

Mailing address

105 Brevard Pkwy
Lexington, SC 29073-7265
Phone (803) 951-1880

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cbondssellers97729@direct.lexmed.com Direct

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
I20260605000320 SC Practitioner - Nurse Practitioner 3577034057 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

Practice addresses (Care Compare)

110 E Medical LN
Suite 210a
West Columbia, SC 29169-4817

PO Box
Suite 6069
West Columbia, SC 29171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31807SCMDNurse Practitioner

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1083550479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BREVARD PKWY",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290737265",
            "telephone_number": "803-951-1880",
            "fax_number": "803-951-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BREVARD PKWY",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290737265",
            "telephone_number": "803-951-1880",
            "fax_number": "803-951-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUNDS-SELLERS",
        "first_name": "COLBY",
        "middle_name": "KALEE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "31807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbondssellers97729@direct.lexmed.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "105 Brevard Pkwy",
            "city": "Lexington",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290737265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

Verify at the official NPI Registry.