Individual provider Active NPI

Taylor E Radley, FNP

  • Family Nurse Practitioner
  • West Columbia, SC
National Provider Identifier
1104580414
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25510 Issued in SC
Practice address
146 E Hospital Dr Ste 200
West Columbia, SC 29169-4800
Phone
(803) 936-7530
NPI assigned
Oct 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 25510 SC Primary

Addresses

Primary practice location

146 E Hospital Dr Ste 200
West Columbia, SC 29169-4800

Mailing address

1633 S Lake Dr
Lexington, SC 29073-7755
Phone (803) 520-9370

Other practice location 1

1223 S Lake Dr Ste G
Lexington, SC 29073-6889
Phone (803) 520-9370

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tradley151497@direct.lexmed.com

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
I20241115003959 SC Practitioner - Nurse Practitioner 0840724548 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc Current Accepting new patients
Lexington Health Inc CurrentSince Sep 1, 2024 Accepting new patients
Lexington Health Inc CurrentSince Sep 1, 2024 Accepting new patients
Sweetgrass Pediatrics PastSince Apr 6, 2023 Accepting new patients
Southern Medical Management, LLC PastSince Apr 6, 2023 Accepting new patients

Locations

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

146 E Hospital Dr
Ste 200
West Columbia, SC 29169
Phone (803) 739-3550

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.

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1104580414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 S LAKE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290737755",
            "telephone_number": "803-520-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 E HOSPITAL DR STE 200",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694800",
            "telephone_number": "803-936-7530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 S Lake Dr Ste G",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290736889",
            "country_code": "US",
            "telephone_number": "803-520-9370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADLEY",
        "first_name": "TAYLOR",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "25510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tradley151497@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "146 E Hospital Dr Ste 200",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291694800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.