Organization Active NPI

Lexington County Health Serivces District, Inc.

  • Family Medicine Physician
  • West Columbia, SC
National Provider Identifier
1194203463
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LEXINGTON COUNTY HEALTH SERIVCES DISTRICT, INC.
Doing business as
Lexington Family Medicine
Practice address
146 East Hospital Drive
Suite 500
West Columbia, SC 29169
Phone
(803) 739-3550
Fax
(803) 739-3546
NPI assigned
Jul 30, 2018
Organization subpart
Yes
Parent organization
LEXINGTON COUNTY HEALTH SERIVCES DISTRICT, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Authorized official

Name
Carole Cherny
Title
Senior Credentialing Analyst
Phone
(803) 936-7679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

146 East Hospital Drive
Suite 500
West Columbia, SC 29169

Mailing address

470 Hulon LN
West Columbia, SC 29169-4841
Phone (803) 739-3550

Other names 1

  • Lexington Family Medicine Doing business as

National Provider Directory

National Provider Directory
Part of
Lexington County Health

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1194203463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 HULON LN",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694841",
            "telephone_number": "803-739-3550",
            "fax_number": "803-739-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 EAST HOSPITAL DRIVE",
            "address_2": "SUITE 500",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29169",
            "telephone_number": "803-739-3550",
            "fax_number": "803-739-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON COUNTY HEALTH SERIVCES DISTRICT, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEXINGTON COUNTY HEALTH SERIVCES DISTRICT, INC.",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "CHERNY",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_title_or_position": "SENIOR CREDENTIALING ANALYST",
        "authorized_official_telephone_number": "803-936-7679"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lexington Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.