Active NPI
Diane J Lai, MD
- Pediatrics Physician
- Spartanburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 88230
- Practice address
- 249 N Grove Medical Park Dr Ste 100
Spartanburg, SC 29303-4227 - Phone
- (864) 582-8135
- Fax
- (864) 573-9757
- NPI assigned
- Jun 24, 2019
- Last updated
- Aug 24, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | LL82583 | SC | |
| Pediatrics Physician | 208000000X | 88230 | SC | Primary |
Addresses
Primary practice location
249 N Grove Medical Park Dr Ste 100
Spartanburg, SC 29303-4227
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other practice location 1
Children's Hospital Outpatient Center
14 Medical Park, Ste 400
Columbia, SC 29203
Phone (803) 434-6155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | SC |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Pediatrics | Current | Accepting new patients |
Locations
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
249 North Grove Medical Park Dr
Ste 100
Spartanburg, SC 29303
Phone (864) 582-8135
Interoperability endpoints
- dlai381456@direct.ghs.myhfn.org
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
Pediatrics
-
dba Parkside OB-GYN
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
dba UMG Easley
- Family Medicine Physician
- Easley, SC
- NPI 1295218642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1427619121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-522-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 N GROVE MEDICAL PARK DR STE 100",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293034227",
"telephone_number": "864-582-8135",
"fax_number": "864-573-9757"
}
],
"practiceLocations": [
{
"address_1": "Children's Hospital Outpatient Center",
"address_2": "14 Medical Park, Ste 400",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "29203",
"country_code": "US",
"telephone_number": "803-434-6155",
"fax_number": "803-434-6979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAI",
"first_name": "DIANE",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-24",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "LL82583",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "88230",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.