Individual provider Active NPI

Katina Patriss Pipkins-Byrd

  • Family Nurse Practitioner
  • Lexington, SC
National Provider Identifier
1295570497
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28722 Issued in SC
Practice address
5608 Sunset Blvd
Lexington, SC 29072-2728
Phone
(803) 957-5322
NPI assigned
Jun 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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 28722 SC Primary

Addresses

Primary practice location

5608 Sunset Blvd
Lexington, SC 29072-2728

Mailing address

5608 Sunset Blvd
Lexington, SC 29072-2728
Phone (803) 957-5322

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
I20240920002271 SC Practitioner - Nurse Practitioner 9739620493 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28722SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Ageless Center LLC CurrentSince Mar 24, 2025 Accepting new patients
Pivotal Injury and Rehab Inc CurrentSince Apr 1, 2025 Accepting new patients
Minuteclinic Diagnostic South Carolina LLC Family CurrentSince Aug 23, 2024 Accepting new patients
Minuteclinic Video Virtual Care, PLLC Family CurrentSince Aug 23, 2024 Accepting new patients

Locations

1300 Peachtree Industrial Blvd
Ste 1201
Suwanee, GA 30024
Phone (770) 614-6266

28072 Highway 76 E
Clinton, SC 29325
Phone (770) 614-6266

5608 Sunset Blvd
Lexington, SC 29072
Phone (334) 750-1566

698 Fairview Rd
Simpsonville, SC 29680
Phone (864) 962-8991

103 Sum Mor Dr
West Columbia, SC 29169
Phone (803) 218-9886

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1295570497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 SUNSET BLVD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722728",
            "telephone_number": "803-957-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5608 SUNSET BLVD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722728",
            "telephone_number": "803-957-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPKINS-BYRD",
        "first_name": "KATINA",
        "middle_name": "PATRISS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "28722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

Verify at the official NPI Registry.