Individual provider Active NPI

Karly Martin

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1417631490
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27619 Issued in SC
Practice address
5143 Forest Dr Ste 20
Columbia, SC 29206-4918
Phone
(803) 314-9120
NPI assigned
Jun 12, 2023
Last updated
Apr 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 27619 SC Primary
Student in an Organized Health Care Education/Training Program 390200000X 245842 SC

Addresses

Primary practice location

5143 Forest Dr Ste 20
Columbia, SC 29206-4918

Mailing address

PO Box 6069
West Columbia, SC 29171-6069
Phone (803) 791-2000

Other practice location 1

109 Barton Creek Ct
Columbia, SC 29229-8027
Phone (803) 256-2286

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kmartin63569@direct.lexmed.com
Direct Messaging Address kmartin63579@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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230726004207 SC Practitioner - Nurse Practitioner 4183085939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
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)

109 Barton Creek CT
Columbia, SC 29229-8027
Phone (803) 791-2683

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
245842SCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc CurrentSince Jul 1, 2023 Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Lexington Health Inc Current Accepting new patients
Lexington Health Inc CurrentSince Jul 1, 2023 Accepting new patients
Lexington Health Inc Past Accepting new patients

Locations

109 Barton Creek Ct
Columbia, SC 29229
Phone (803) 256-2286

5143 Forest Dr
Unit 200
Columbia, SC 29206
Phone (803) 314-9120

338 E Columbia Ave
Leesville, SC 29070
Phone (803) 332-4300

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

935 W 2nd St
Swansea, SC 29160
Phone (803) 568-2000

Interoperability endpoints

  • Direct secure messaging: kmartin63569@direct.lexmed.com
  • Direct secure messaging: kmartin63579@direct.lexmed.com

Organizations & group practices 5

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": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1417631490",
    "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": "803-791-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5143 FOREST DR STE 20",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292064918",
            "telephone_number": "803-314-9120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Barton Creek Ct",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292298027",
            "country_code": "US",
            "telephone_number": "803-256-2286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KARLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "27619",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "SC",
            "license": "245842",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmartin63569@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "109 Barton Creek Ct",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292298027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmartin63579@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "109 Barton Creek Ct",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292298027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.