Lunate 66 LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

LUNATE 66 LLC

Practice address

3150 Highway 153
Piedmont, SC 29673-9498

Phone

(864) 740-5301

Fax

(864) 740-5302

NPI assigned

May 18, 2022

Organization subpart

No

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

Authorized official

Name

Donna Duffie

Title

Administrative Assistant

Phone

(864) 740-5301

Specialties & licenses 1

Addresses

Other names 1

• Jernigan Orthopedics Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• W. Clark Jernigan, M.D.

  • Orthopaedic Surgery Physician
  • Piedmont, SC
  • NPI 1003873779
  Medicare reassignment NPD

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1154068484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 HIGHWAY 153",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296739498",
            "telephone_number": "864-740-5301",
            "fax_number": "864-740-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 HIGHWAY 153",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296739498",
            "telephone_number": "864-740-5301",
            "fax_number": "864-740-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNATE 66 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "DUFFIE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "864-740-5301"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jernigan Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Eaton Lee, M.D.
• Janice D Lee, APRN
• Thomas B Liddle, DC
• Louisiana Oxygen Service
• Katie Michelle Luker
• Hannah Curran Matthews-Sumrow, LPC
• Christy McNeely, R.N.
• Steffany Medina
• Angela Mentink, LAC, DIPL. OM, ABT
• Kelly Monteruil, RN/EMT-PARAMEDIC

• Orthopaedic Surgery Physician in Piedmont, SC
• Providers in Piedmont, SC by specialty
• Orthopaedic Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.