Individual provider Active NPI

Misty Nicole Lee, DPM

  • Foot & Ankle Surgery Podiatrist
  • Florence, SC
National Provider Identifier
1255503413
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
583 Issued in SC
Practice address
230 Cherokee Rd
Florence, SC 29501-5225
Phone
(843) 790-3338
Fax
(843) 731-9384
NPI assigned
Mar 27, 2008
Last updated
Oct 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 583 SC Primary

Addresses

Primary practice location

230 Cherokee Rd
Florence, SC 29501-5225

Mailing address

230 Cherokee Rd
Florence, SC 29501-5225
Phone (843) 790-3338

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080917000085 SC Practitioner - Podiatry 9830266824 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora South Carolina LLCGroup PAC ID 3173766334, shared by 6 NPIs, 220 clinicians

Practice addresses (Care Compare)

230 Cherokee Rd
Florence, SC 29501-5225
Phone (843) 790-3338

2724 W Palmetto St
Suite 2
Florence, SC 29501-4909
Phone (843) 292-1900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue130
Removal of skin lesions188
Removal of nail tissue1738
Removal or shaving of skin growth253
Skin biopsy11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
583SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Footcare, LLC Foot & Ankle Surgery CurrentSince Aug 1, 2011 Accepting new patients
Palmetto State Surgical Podiatry Associates Foot & Ankle Surgery CurrentSince Oct 3, 2016 Accepting new patients
Pee Dee Foot Center, PA Foot & Ankle Surgery PastSince Jul 25, 1999 Accepting new patients
Williamsburg Regional Hospital Past Accepting new patients

Locations

1730 Saint Julian Pl
Columbia, SC 29204
Phone (803) 256-6776

230 Cherokee Rd
Florence, SC 29501
Phone (843) 669-7044

6 Barnette Dr
Sumter, SC 29150
Phone (803) 773-3391

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1255503413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CHEROKEE RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015225",
            "telephone_number": "843-790-3338",
            "fax_number": "843-731-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 CHEROKEE RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015225",
            "telephone_number": "843-790-3338",
            "fax_number": "843-731-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MISTY",
        "middle_name": "NICOLE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.