Individual provider Active NPI

Lindsay Wilson Lollis, FNP-C

  • Family Nurse Practitioner
  • Anderson, SC
National Provider Identifier
1235631169
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21732 Issued in SC
Practice address
1405 E Greenville St
Anderson, SC 29621-2049
Phone
(864) 224-8797
NPI assigned
Mar 7, 2018
Last updated
Jul 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 21732 SC
Family Nurse Practitioner 363LF0000X 21732 SC Primary

Addresses

Primary practice location

1405 E Greenville St
Anderson, SC 29621-2049

Mailing address

1405 E Greenville St
Anderson, SC 29621-2049
Phone (864) 224-8797

Other practice location 1

726 Anderson St
Belton, SC 29627-2131
Phone (864) 338-8619

Other practice location 2

2000 E Greenville St Ste 1600
Anderson, SC 29621-1719
Phone (864) 716-6008

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180521000051 SC Practitioner - Nurse Practitioner 9638434749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gateway Medical LLCGroup PAC ID 5496056814, 5 clinicians

Practice addresses (Care Compare)

Lexington, SC 29072
Phone (803) 358-8496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21732SCMDFamily Nurse Practitioner

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1235631169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 E GREENVILLE ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296212049",
            "telephone_number": "864-224-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 E GREENVILLE ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296212049",
            "telephone_number": "864-224-8797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "726 Anderson St",
            "address_purpose": "LOCATION",
            "city": "Belton",
            "state": "SC",
            "postal_code": "296272131",
            "country_code": "US",
            "telephone_number": "864-338-8619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 E Greenville St Ste 1600",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296211719",
            "country_code": "US",
            "telephone_number": "864-716-6008",
            "fax_number": "864-716-6732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOLLIS",
        "first_name": "LINDSAY",
        "middle_name": "WILSON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "21732",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.