Individual provider Active NPI

Lynn A. Leclerc, FNP

  • Family Nurse Practitioner
  • Pawleys Island, SC
National Provider Identifier
1114450657
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20845 Issued in SC
Practice address
113 Willbrook Blvd Unit F
Pawleys Island, SC 29585-8245
Phone
(433) 536-0158
Fax
(843) 594-5149
NPI assigned
Apr 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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 20845 SC Primary

Addresses

Primary practice location

113 Willbrook Blvd Unit F
Pawleys Island, SC 29585-8245

Mailing address

PO Box 530062
Atlanta, GA 30353-0062
Phone (843) 695-6071

Other practice location 1

188 Avondale Dr
Myrtle Beach, SC 29588-5402
Phone (843) 957-0383

Other identifiers 1

IdentifierTypeStateIssuer
NP4806MedicaidSC

Other names 1

  • Lynn Toussaint Former name

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
I20180123000051 SC Practitioner - Nurse Practitioner 2769741628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Palmetto Primary Care Physicians LLCGroup PAC ID 4880508068, 148 clinicians

Practice addresses (Care Compare)

113 Willbrook Blvd
Unit F
Pawleys Island, SC 29585-8245
Phone (843) 353-6015

Hospital & facility affiliations

  • Amedisys Home Health of Georgetown Home health agency, Georgetown, SC, CCN 427065
  • Tidelands Waccamaw Community Hospital Hospital, Murrells Inlet, SC, CCN 420098
  • Tidelands Georgetown Memorial Hospital Hospital, Georgetown, SC, CCN 420020

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC CurrentSince Jan 1, 2019 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Jan 1, 2019 Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Palmetto Primary Care Physicians, LLC Past Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

912 Inlet Square Dr
Murrells Inlt, SC 29576
Phone (843) 347-3334

2500 Elms Center Rd
North Charleston, SC 29406
Phone (763) 348-2075

2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840

113 Willbrook Blvd
Unit F
Pawleys Island, SC 29585
Phone (843) 353-6015

201 Sigma Dr
Ste 100
Summerville, SC 29486
Phone (843) 820-3397

Interoperability endpoints

  • Direct secure messaging: lynn.leclerc@ppcp1.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1114450657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530062",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303530062",
            "telephone_number": "843-695-6071",
            "fax_number": "843-569-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WILLBROOK BLVD UNIT F",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295858245",
            "telephone_number": "433-536-0158",
            "fax_number": "843-594-5149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "188 Avondale Dr",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295885402",
            "country_code": "US",
            "telephone_number": "843-957-0383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LECLERC",
        "first_name": "LYNN",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP4806",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "TOUSSAINT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pawleys Island, SC

Sources for this page

Verify at the official NPI Registry.