Active NPI
Lexis Lamb Elliott, FNP
- Family Nurse Practitioner
- Fort Mill, SC
National Provider Identifier
1235949439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 29602
- Practice address
- 1096 Assembly Dr Ste 210
Fort Mill, SC 29708-6448 - Phone
- (704) 368-0563
- NPI assigned
- Jan 9, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 29602 | SC | Primary |
Addresses
Primary practice location
1096 Assembly Dr Ste 210
Fort Mill, SC 29708-6448
Mailing address
384 Beacon St NW
Concord, NC 28027-5348
Phone (704) 280-0254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29602 | SC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1235949439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "384 BEACON ST NW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280275348",
"telephone_number": "704-280-0254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1096 ASSEMBLY DR STE 210",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297086448",
"telephone_number": "704-368-0563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "LEXIS",
"middle_name": "LAMB",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-09",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "29602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.