Active NPI
Justin Ellis Grossman Fichtner, MD
- Family Medicine Physician
- Lexington, SC
National Provider Identifier
1285325431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 90207
- Practice address
- 811 W Main St Ste 204
Lexington, SC 29072-2500 - Phone
- (803) 358-6420
- Fax
- (803) 358-6450
- NPI assigned
- May 18, 2023
- Last updated
- Jun 12, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 Medicine Physician | 207Q00000X | 90207 | SC | Primary |
Addresses
Primary practice location
811 W Main St Ste 204
Lexington, SC 29072-2500
Mailing address
145 Sunset CT Ste 100
West Columbia, SC 29169-2429
Phone (803) 739-3491
Other practice location 1
145 Sunset Ct Ste 100
West Columbia, SC 29169-2429
Phone (803) 739-3491
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jfichtner164836@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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230801004333 | SC | Order and Referring Only - Family Practice | 9830550227 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Colorado School of Medicine, Denver, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 6069
West Columbia, SC 29171
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington County Health Services District Inc | Current | Accepting new patients |
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.
-
dba Lexington Medical Center
- General Acute Care Hospital
- West Columbia, SC
- NPI 1356366314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1285325431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 SUNSET CT STE 100",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291692429",
"telephone_number": "803-739-3491"
},
{
"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": "803-358-6420",
"fax_number": "803-358-6450"
}
],
"practiceLocations": [
{
"address_1": "145 Sunset Ct Ste 100",
"address_purpose": "LOCATION",
"city": "West Columbia",
"state": "SC",
"postal_code": "291692429",
"country_code": "US",
"telephone_number": "803-739-3491",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FICHTNER",
"first_name": "JUSTIN",
"middle_name": "ELLIS GROSSMAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-18",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "90207",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jfichtner164836@direct.lexmed.com",
"affiliation": "N",
"address_1": "145 Sunset Ct Ste 100",
"city": "West Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "291692429",
"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 Jun 12, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.