Active NPI
Amanda Ruscin Vartanian, M.D.
- Pediatrics Physician
- Lexington, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- LL36978
- Practice address
- 811 W Main St Ste 204
Lexington, SC 29072-2500 - Phone
- (803) 359-8855
- Fax
- (803) 359-1257
- NPI assigned
- Jun 9, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | LL36978 | SC | Primary |
| Pediatrics Physician | 208000000X | 36978 | SC |
Addresses
Primary practice location
811 W Main St Ste 204
Lexington, SC 29072-2500
Mailing address
PO Box 6069
West Columbia, SC 29171-6069
Other practice location 1
4080 Augusta Hwy Ste 100
Gilbert, SC 29054-8893
Phone (803) 892-1800
Other practice location 2
3240 Sunset Blvd
West Columbia, SC 29169-3428
Phone (803) 359-8855
Other practice location 3
4080 Augusta Hwy Ste 100
Gilbert, SC 29054-8893
Phone (803) 892-1800
Other practice location 4
14 Medical Park, Ste 400
Children's Hospital Outpatient Center
Columbia, SC 29203
Phone (803) 434-6155
Other practice location 5
14 Medical Park, Ste 400
Children's Hospital Outpatient Center
Columbia, SC 29203
Phone (803) 434-6155
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | avartanian69231@direct.lexmed.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Health Inc | Current | Accepting new patients | |
| Lexington Health Inc | Current | Accepting new patients | |
| Lexington County Health Services District Inc | Current | Accepting new patients | |
| Lexington Health Inc | Current | Accepting new patients | |
| Lexington County Health Services District, Inc. | Past | Accepting new patients |
Locations
811 W Main St
Ste 204
Lexington, SC 29072
Phone (803) 358-6420
811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230
3240 Sunset Blvd
West Columbia, SC 29169
Phone (803) 359-8855
Interoperability endpoints
- avartanian69231@direct.lexmed.com
Organizations & group practices 5
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.
-
dba Lexington Orthopaedic and Sports Medicine
- Sports Medicine (Orthopaedic Surgery) Physician
- West Columbia, SC
- NPI 1710634753
-
dba Lexington Medical Center
- General Acute Care Hospital
- West Columbia, SC
- NPI 1356366314
-
dba Lexington Pediatrics
- Pediatric Adolescent Medicine Physician
- Lexington, SC
- NPI 1619574969
-
dba Lexington Internal Medicine
- Internal Medicine Physician
- West Columbia, SC
- NPI 1942190988
-
dba Lexington Medical Center Irmo
- Urgent Care Clinic/Center
- Columbia, SC
- NPI 1396778056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1205249117",
"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": "811 W MAIN ST STE 204",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290722500",
"telephone_number": "803-359-8855",
"fax_number": "803-359-1257"
}
],
"practiceLocations": [
{
"address_1": "4080 Augusta Hwy Ste 100",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "SC",
"postal_code": "290548893",
"country_code": "US",
"telephone_number": "803-892-1800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3240 Sunset Blvd",
"address_purpose": "LOCATION",
"city": "West Columbia",
"state": "SC",
"postal_code": "291693428",
"country_code": "US",
"telephone_number": "803-359-8855",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4080 Augusta Hwy Ste 100",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "SC",
"postal_code": "290548893",
"country_code": "US",
"telephone_number": "803-892-1800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14 Medical Park, Ste 400",
"address_2": "Children's Hospital Outpatient Center",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "29203",
"country_code": "US",
"telephone_number": "803-434-6155",
"fax_number": "803-434-6979",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14 Medical Park, Ste 400",
"address_2": "Children's Hospital Outpatient Center",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "29203",
"country_code": "US",
"telephone_number": "803-434-6155",
"fax_number": "803-434-6979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VARTANIAN",
"first_name": "AMANDA",
"middle_name": "RUSCIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-09",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "LL36978",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "36978",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "avartanian69231@direct.lexmed.com",
"affiliation": "N",
"address_1": "811 W Main St Ste 204",
"city": "Lexington",
"state": "SC",
"country_code": "US",
"postal_code": "290722500",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 27, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.