Tina Renell Goethie-Lyons, APRN, MSN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN.19824.RX Issued in SC

Practice address

719 Okatie Hwy
Okatie, SC 29909-3963

Phone

(843) 987-7400

Fax

(843) 986-0566

NPI assigned

Oct 22, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, GA, TN, VA4 enrollments

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 4

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psynergy Health Med PLLCGroup PAC ID 0749714707, 35 clinicians

Hospice Care of South Carolina LLCGroup PAC ID 7113928961, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EICIBD

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.

• Hospice Care of South Carolina, LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Columbia, SC
  • NPI 1174956098

  SC

  Medicare reassignment Care Compare group NPD
• Psynergy Health Med PLLC

  • Primary Care Clinic/Center
  • Orlando, FL
  • NPI 1891513420

  GA, SC, TN, VA

  Medicare reassignment Care Compare group NPD
• Altea Medical South Carolina LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Ridgeland, SC
  • NPI 1538987672

  SC

  Medicare reassignment NPD
• Beaufort Jasper Hampton Comprehensive Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ridgeland, SC
  • NPI 1649276148

  SC

  Medicare reassignment NPD
• Centerwell Senior Primary Care (SC) PC

  • Internal Medicine Physician
  • Greenville, SC
  • NPI 1376907790

  SC

  Medicare reassignment NPD
• Che Behavioral Health Services of South Carolina, P.C.

  • Clinical Psychologist
  • Greenville, SC
  • NPI 1568048833

  Psychiatric/Mental Health, SC

  Medicare reassignment NPD
• Lifesource Prime Inc

  • Family Medicine Physician
  • Clinton, SC
  • NPI 1851143523

  Family, SC

  Medicare reassignment NPD
• Altea Medical Georgia PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Sylvania, GA
  • NPI 1407692452

  GA

  Medicare reassignment NPD
• Christopher Dennis MD PLLC

  • Psychiatry Physician
  • Johns Creek, GA
  • NPI 1588090229

  GA, Psychiatric/Mental Health

  Medicare reassignment NPD
• Post Acute Medical PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Lanham, MD
  • NPI 1730713025

  GA

  Medicare reassignment NPD
• Centerwell Senior Primary Care SC JV PC

  • Internal Medicine Physician
  • West Columbia, SC
  • NPI 1962101501

  SC

  Medicare reassignment
• Hospice Care of South Carolina, LLC

  • Community Based Hospice Care Agency
  • Spartanburg, SC
  • NPI 1558457804
  Care Compare group

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1376915934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357",
            "address_2": "721 N. OKATIE HWY, OKATIE, SC 29909",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299362605",
            "telephone_number": "843-987-7400",
            "fax_number": "843-986-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 OKATIE HWY",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299093963",
            "telephone_number": "843-987-7400",
            "fax_number": "843-986-0566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "939 Springdale Dr",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "SC",
            "postal_code": "293257266",
            "country_code": "US",
            "telephone_number": "910-742-9243",
            "fax_number": "888-746-1787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOETHIE-LYONS",
        "first_name": "TINA",
        "middle_name": "RENELL",
        "name_prefix": "Mrs.",
        "credential": "APRN, MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "APN.19824.RX",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN.19824.RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Fox
• Lindsay Anne Gamble, APRN, FNP-C
• Bethany Gaultney, APRN
• Georgia Eye Institute of the Southeast, LLC
• Natalie L Getty, NP
• Heather Jean Goldberg, PSYD
• Golf Cart Chiropractic, LLC
• Anna Nicole Gray, FNP-BC
• Donna M Hall, PT
• Halo Primary Care, LLC

• All providers in Okatie, SC
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.

Verify at the official NPI Registry.