Sandra E Luyindula, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

38672 Issued in SC

Practice address

103 Fairview Pointe Dr
Fairview Family Practice
Simpsonville, SC 29681-3223

Phone

(864) 967-4982

Fax

(864) 967-8465

NPI assigned

Jun 12, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2023 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Sandra E. Luyindula, MD LLC

  • Family Medicine Physician
  • Greer, SC
  • NPI 1750037925
  NPD Authorized official
• St Francis Physician Services Inc

  • Family Medicine Physician
  • Greenville, SC
  • NPI 1295769438
  NPD (past)

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1205198611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743294",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743294",
            "telephone_number": "864-455-9022",
            "fax_number": "864-455-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 FAIRVIEW POINTE DR",
            "address_2": "FAIRVIEW FAMILY PRACTICE",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813223",
            "telephone_number": "864-967-4982",
            "fax_number": "864-967-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUYINDULA",
        "first_name": "SANDRA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "38672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lovely Home Care
• Rebecca Hope Lowman
• Christen Anne Lucas, PTA
• Raul Luevano, FNP-BC
• Sarah Elizabeth Lunsford, MMFT, LMFT
• Camillia Lynch
• Steven Lyons Jr., PHARM.D.
• M Ken Hedrick PC
• M6 Enterprises Inc
• Shadrica Nicole Mack, BCA

• Family Medicine Physician in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.