Individual provider Active NPI

Lisa Dianne Churchill, FNP

  • Family Nurse Practitioner
  • Summerville, SC
National Provider Identifier
1295196947
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19849 Issued in SC
Practice address
9500 Dorchester Rd Ste 362
Summerville, SC 29485-4304
Phone
(843) 212-8080
Fax
(843) 212-8091
NPI assigned
Mar 9, 2016
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19849 SC Primary

Addresses

Primary practice location

9500 Dorchester Rd Ste 362
Summerville, SC 29485-4304

Mailing address

PO Box 632516
Cincinnati, OH 45263-2516
Phone (888) 472-0043

Other practice location 1

2500 Elms Center Rd
North Charleston, SC 29406-9844
Phone (763) 348-2075

Other identifiers 1

IdentifierTypeStateIssuer
NP3767MedicaidSC

Other names 1

  • Lisa D. Carraher Former name

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
I20160504000424 SC Practitioner - Nurse Practitioner 4587963103 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

300 W 4TH N St
Summerville, SC 29483-6550
Phone (843) 695-6071

501 Carnes Crossing Blvd
Suite B
Summerville, SC 29486-0407
Phone (843) 212-8080

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Roper Saint Francis Physicians Network Current Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Jul 3, 2023 Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Curana Health of South Carolina PC CurrentSince May 1, 2020 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Apr 4, 2016 Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Apr 4, 2016 Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Jul 3, 2023 Accepting new patients
Palmetto Primary Care Physicians, LLC Past Accepting new patients
Palmetto Primary Care Physicians, LLC Past Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

5325 Appian Way
Charleston, SC 29420
Phone (843) 552-0400

776 Daniel Ellis Dr
Ste 1B
Charleston, SC 29412
Phone (843) 795-0300

899 Island Park Dr
Ste 200
Daniel Island, SC 29492
Phone (843) 797-5050

110 Springhall Dr
Ste A
Goose Creek, SC 29445
Phone (843) 973-8503

7 S Alliance Dr
Ste 211B
Goose Creek, SC 29445
Phone (843) 553-4383

8536 Palmetto Commerce Pkwy
Ste 401
Ladson, SC 29456
Phone (843) 203-2260

115 Executive Pkwy
Moncks Corner, SC 29461
Phone (843) 761-2815

401 N Live Oak Dr
Ste B
Moncks Corner, SC 29461
Phone (843) 761-7884

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750

2500 Elms Center Rd
North Charleston, SC 29406
Phone (763) 348-2075

2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840

201 Oakbrook Ln
Ste 255
Summerville, SC 29485
Phone (843) 851-2000

201 Sigma Dr
Ste 100
Summerville, SC 29486
Phone (843) 820-3397

300 W 4th North St
Summerville, SC 29483
Phone (843) 285-7515

435 N Cedar St
Summerville, SC 29483
Phone (843) 873-1592

501 Carnes Crossing Blvd
#B
Summerville, SC 29486
Phone (843) 212-8080

507 N Laurel St
Summerville, SC 29483
Phone (843) 875-0600

809 N Cedar St
Summerville, SC 29483
Phone (843) 851-9440

89 Old Trolley Rd
Ste 100
Summerville, SC 29485
Phone (843) 599-0306

9500 Dorchester Rd
Ste 362
Summerville, SC 29485
Phone (843) 212-8080

Interoperability endpoints

  • Direct secure messaging: lchurchill1896336@direct.bsmhealth.org
  • Direct secure messaging: lisa.churchill@ppcp1.eclinicaldirectplus.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1295196947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632516",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632516",
            "telephone_number": "888-472-0043",
            "fax_number": "513-653-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 DORCHESTER RD STE 362",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294854304",
            "telephone_number": "843-212-8080",
            "fax_number": "843-212-8091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Elms Center Rd",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294069844",
            "country_code": "US",
            "telephone_number": "763-348-2075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHURCHILL",
        "first_name": "LISA",
        "middle_name": "DIANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP3767",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "CARRAHER",
            "middle_name": "D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.