Organization Active NPI

South Carolina Internal Medicine

  • Clinic/Center
  • Irmo, SC
National Provider Identifier
1124979059
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SOUTH CAROLINA INTERNAL MEDICINE
Practice address
7182 Woodrow St Ste 200
Irmo, SC 29063-2958
Phone
(803) 369-7953
Fax
(803) 881-1819
NPI assigned
Feb 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Lynne C McCoy, CCMA
Title
Certified Medical Assistant
Phone
(809) 369-7953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

7182 Woodrow St Ste 200
Irmo, SC 29063-2958

Mailing address

7182 Woodrow St Ste 200
Irmo, SC 29063-2958
Phone (803) 369-7953

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1770336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1124979059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7182 WOODROW ST STE 200",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632958",
            "telephone_number": "803-369-7953",
            "fax_number": "803-881-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7182 WOODROW ST STE 200",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632958",
            "telephone_number": "803-369-7953",
            "fax_number": "803-881-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-06",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CERTIFIED MEDICAL ASSISTANT",
        "authorized_official_telephone_number": "809-369-7953",
        "authorized_official_credential": "CCMA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.