NPIMap

Organization Active NPI

Lexington County Health Services District, Inc.

Doing business as Southern Surgical Group

  • Surgery Physician
  • West Columbia, SC
National Provider Identifier
1215955174
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
Doing business as
Southern Surgical Group
Practice address
146 East Hospital Drive
Ste 310
West Columbia, SC 29169
Phone
(803) 796-8901
Fax
(803) 796-4217
NPI assigned
Jul 18, 2006
Last updated
Oct 18, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
LEXINGTON COUNTY HEALTH SERVICES 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
Melinda Sarvis
Title
Executive VP
Phone
(803) 791-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

146 East Hospital Drive
Ste 310
West Columbia, SC 29169

Mailing address

PO Box 896239
Charlotte, NC 28289-6239
Phone (803) 796-8901

Other identifiers 2

IdentifierTypeStateIssuer
DB4459OtherRR MEDICARE
GP3877MedicaidSC

Other names 1

  • Southern Surgical Group Doing business as

National Provider Directory

National Provider Directory
Part of
Internal Medicine Assoi

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1215955174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896239",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896239",
            "telephone_number": "803-796-8901",
            "fax_number": "803-796-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 EAST HOSPITAL DRIVE",
            "address_2": "STE 310",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29169",
            "telephone_number": "803-796-8901",
            "fax_number": "803-796-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.",
        "enumeration_date": "2006-07-18",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "SARVIS",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "EXECUTIVE VP",
        "authorized_official_telephone_number": "803-791-2000"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DB4459",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3877",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Surgical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southern Surgical Group",
            "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.