Active NPI
Lachish Jasmin McClurkin McMillan, RN
- Family Nurse Practitioner
- Columbia, SC
National Provider Identifier
1326698150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN204625
- Practice address
- 4500 8TH Division Rd
Columbia, SC 29207-5700 - Phone
- (803) 972-7776
- NPI assigned
- Sep 13, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN204625 | GA | Primary |
Addresses
Primary practice location
4500 8TH Division Rd
Columbia, SC 29207-5700
Mailing address
4500 8TH Division Rd
Columbia, SC 29207-5700
Other practice location 1
2817 Rock Merritt Ave
Fort Liberty, NC 28310-0001
Phone (910) 907-8333
Other practice location 2
17501 Jacobs Ct
Derwood, MD 20855-1500
Phone (267) 257-7997
Other names 1
- Lachish Jasmin McClurkin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN204625 | GA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1326698150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 8TH DIVISION RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292075700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 8TH DIVISION RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292075700",
"telephone_number": "803-972-7776"
}
],
"practiceLocations": [
{
"address_1": "2817 Rock Merritt Ave",
"address_purpose": "LOCATION",
"city": "Fort Liberty",
"state": "NC",
"postal_code": "283100001",
"country_code": "US",
"telephone_number": "910-907-8333",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17501 Jacobs Ct",
"address_purpose": "LOCATION",
"city": "Derwood",
"state": "MD",
"postal_code": "208551500",
"country_code": "US",
"telephone_number": "267-257-7997",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCMILLAN",
"first_name": "LACHISH",
"middle_name": "JASMIN MCCLURKIN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-13",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN204625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LACHISH",
"last_name": "MCCLURKIN",
"middle_name": "JASMIN",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.