NPIMap

Organization Active NPI

Mid Carolina Internal Medicine Assoc.LLC

Doing business as Lexington Pulmonary and Critical Care

  • Specialist
  • Lexington, SC
National Provider Identifier
1154336105
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MID CAROLINA INTERNAL MEDICINE ASSOC.LLC
Doing business as
Lexington Pulmonary and Critical Care
Practice address
108 Palmetto Park Blvd
Suite C
Lexington, SC 29072-7968
Phone
(803) 520-5100
Fax
(803) 520-5104
NPI assigned
Jul 29, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Donald Elton, MD
Title
Owner
Phone
(803) 520-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X SC Primary

Addresses

Primary practice location

108 Palmetto Park Blvd
Suite C
Lexington, SC 29072-7968

Mailing address

108 Palmetto Park Blvd
Suite C
Lexington, SC 29072-7968
Phone (803) 520-5100

Other identifiers 2

IdentifierTypeStateIssuer
GP2341MedicaidSC
C15095OtherSCRAIL ROAD MEDICARE

Other names 1

  • Lexington Pulmonary and Critical Care Doing business as

National Provider Directory

National Provider Directory

Locations

138 N Hospital Dr
West Columbia, SC 29169
Phone (803) 796-2222

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154336105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 PALMETTO PARK BLVD",
            "address_2": "SUITE C",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727968",
            "telephone_number": "803-520-5100",
            "fax_number": "803-520-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 PALMETTO PARK BLVD",
            "address_2": "SUITE C",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727968",
            "telephone_number": "803-520-5100",
            "fax_number": "803-520-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID CAROLINA INTERNAL MEDICINE ASSOC.LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ELTON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-520-5100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2341",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "C15095",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lexington Pulmonary and Critical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.