Active NPI
Zackary Stark Vincent, MD
- Emergency Medicine Physician
- West Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 82339
- Practice address
- 2720 Sunset Blvd
West Columbia, SC 29169-4810 - Phone
- (803) 791-2350
- Fax
- (803) 791-2520
- NPI assigned
- Apr 29, 2019
- Last updated
- Dec 20, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 82339 | SC | Primary |
Addresses
Primary practice location
2720 Sunset Blvd
West Columbia, SC 29169-4810
Mailing address
PO Box 6069
West Columbia, SC 29171-6069
Phone (803) 791-2350
Other practice location 1
3016 Longtown Commons Dr Ste 100
Columbia, SC 29229-7862
Phone (803) 314-0500
Other practice location 2
557 Columbia Ave
Chapin, SC 29036-8324
Phone (803) 932-0655
Other practice location 3
7035 Saint Andrews Rd
Columbia, SC 29212-1177
Phone (803) 749-0924
Other practice location 4
811 W Main St
Lexington, SC 29072-2507
Phone (803) 358-6100
Other practice location 5
154 Saluda Pointe Dr
Lexington, SC 29072-7295
Phone (803) 785-3590
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | zvincent154934@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
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of South Florida College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
154 Saluda Pointe Dr
Lexington, SC 29072-7295
Phone (803) 785-3590
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Health Cheraw | Current | Accepting new patients | |
| Lexington Health Inc | Current | Accepting new patients | |
| McLeod Health Cheraw | Emergency Medicine | Current | Accepting new patients |
| Lexington County Health Services District Inc | Current | Accepting new patients | |
| Lexington Health Inc | Current | Accepting new patients | |
| Lexington Health Inc | Current | Accepting new patients |
Locations
557 Columbia Ave
Chapin, SC 29036
Phone (803) 932-0655
711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304
3016 Longtown Commons Dr
Ste 100
Columbia, SC 29229
Phone (803) 314-0500
7035 Saint Andrews Rd
Columbia, SC 29212
Phone (803) 749-0924
154 Saluda Pointe Dr
Lexington, SC 29072
Phone (803) 785-3580
811 W Main St
Lexington, SC 29072
811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230
2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480
Interoperability endpoints
- zvincent154934@direct.lexmed.com
- zvincent19080@directmcleodehealth.org
Organizations & group practices 6
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 Orthopaedic and Sports Medicine
- Sports Medicine (Orthopaedic Surgery) Physician
- West Columbia, SC
- NPI 1710634753
-
dba McLeod Health Cheraw Physicians
- Certified Registered Nurse Anesthetist
- Cheraw, SC
- NPI 1275912974
Emergency Medicine
-
dba Lexington Medical Center
- General Acute Care Hospital
- West Columbia, SC
- NPI 1356366314
-
dba Lexington Internal Medicine
- Internal Medicine Physician
- West Columbia, SC
- NPI 1942190988
-
dba McLeod Family Medicine - Darlington
- Rural Health Clinic/Center
- Darlington, SC
- NPI 1003410903
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lexington Medical Center
- General Acute Care Hospital
- West Columbia, SC
- NPI 1386241834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1326602996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6069",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291716069",
"telephone_number": "803-791-2350",
"fax_number": "803-791-2520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 SUNSET BLVD",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291694810",
"telephone_number": "803-791-2350",
"fax_number": "803-791-2520"
}
],
"practiceLocations": [
{
"address_1": "3016 Longtown Commons Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292297862",
"country_code": "US",
"telephone_number": "803-314-0500",
"fax_number": "803-314-0501",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "557 Columbia Ave",
"address_purpose": "LOCATION",
"city": "Chapin",
"state": "SC",
"postal_code": "290368324",
"country_code": "US",
"telephone_number": "803-932-0655",
"fax_number": "803-932-0571",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7035 Saint Andrews Rd",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292121177",
"country_code": "US",
"telephone_number": "803-749-0924",
"fax_number": "803-407-4101",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "811 W Main St",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "SC",
"postal_code": "290722507",
"country_code": "US",
"telephone_number": "803-358-6100",
"fax_number": "803-358-6105",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "154 Saluda Pointe Dr",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "SC",
"postal_code": "290727295",
"country_code": "US",
"telephone_number": "803-785-3590",
"fax_number": "803-785-3595",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VINCENT",
"first_name": "ZACKARY",
"middle_name": "STARK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-29",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "82339",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "zvincent154934@direct.lexmed.com",
"affiliation": "N",
"address_1": "2720 Sunset Blvd",
"city": "West Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "291694810",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.