Individual provider Active NPI

Zackary Stark Vincent, MD

  • Emergency Medicine Physician
  • West Columbia, SC
National Provider Identifier
1326602996
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
82339 Issued in SC
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210720001883 SC Practitioner - Emergency Medicine 9739411612 Reassigns benefits to 2 organizations

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
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

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

OrganizationSpecialtyStatusNew patients
McLeod Health Cheraw CurrentSince Jul 1, 2021 Accepting new patients
Lexington Health Inc CurrentSince Apr 1, 2022 Accepting new patients
McLeod Health Cheraw Emergency Medicine CurrentSince Jul 1, 2021 Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Lexington Health Inc Current Accepting new patients
Lexington Health Inc CurrentSince Apr 1, 2022 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

  • Direct secure messaging: zvincent154934@direct.lexmed.com
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.