NPIMap

Individual provider Active NPI

Janice Lynne Bacon, MD

  • Obstetrics & Gynecology Physician
  • West Columbia, SC
National Provider Identifier
1194789735
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
10128 Issued in SC
Practice address
222 E Medical LN Ste 300
West Columbia, SC 29169-4848
Phone
(803) 936-8100
Fax
(803) 936-8130
NPI assigned
Apr 12, 2006
Last updated
Oct 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 10128 SC Primary

Addresses

Primary practice location

222 E Medical LN Ste 300
West Columbia, SC 29169-4848

Mailing address

PO Box 6069
West Columbia, SC 29171-6069

Other identifiers 1

IdentifierTypeStateIssuer
101286MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbacon7784@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100324001183 SC Practitioner - Obstetrics/Gynecology 7911810940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of South Florida College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

145 Sunset CT
Suite 200
West Columbia, SC 29169-2429
Phone (803) 314-5920

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10128SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
University Specialty Clinics - Obstetrics/Gynecology Obstetrics & Gynecology CurrentSince Jan 16, 2008 Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Lexington Health, Inc CurrentSince Feb 1, 2021 Accepting new patients
Lexington Health Inc Current Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Lexington Health Inc Past Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients

Locations

2 Medical Park Rd
Ste 208
Columbia, SC 29203
Phone (803) 545-5700

7045 Saint Andrews Rd
Columbia, SC 29212
Phone (803) 836-7590

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

935 W 2nd St
Swansea, SC 29160
Phone (803) 568-2000

145 Sunset Ct
Ste 200
West Columbia, SC 29169
Phone (803) 314-9360

222 E Medical Ln
Ste 300
West Columbia, SC 29169
Phone (803) 739-3570

2728 Sunset Blvd
Ste 201
West Columbia, SC 29169
Phone (803) 254-1300

Interoperability endpoints

  • Direct secure messaging: jbacon7784@direct.lexmed.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1194789735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E MEDICAL LN STE 300",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694848",
            "telephone_number": "803-936-8100",
            "fax_number": "803-936-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACON",
        "first_name": "JANICE",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "10128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101286",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbacon7784@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "222 E Medical Ln Ste 300",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291694848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.