Individual provider Active NPI

Lisa Covell, APRN

  • Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1437826716
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
25257 Issued in SC
Practice address
2060 Charlie Hall Blvd Ste a
Charleston, SC 29414-6066
Phone
(843) 483-0193
Fax
(839) 213-4599
NPI assigned
Aug 25, 2021
Last updated
Oct 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 25257 SC Primary
Family Nurse Practitioner 363LF0000X 25257 SC

Addresses

Primary practice location

2060 Charlie Hall Blvd Ste a
Charleston, SC 29414-6066

Mailing address

PO Box R
Pooler, GA 31322-0939
Phone (912) 232-9700

Other practice location 1

105 Burton Ave
Summerville, SC 29485-8118
Phone (843) 970-5379

Other practice location 2

5401 Netherby Ln Ste 301
North Charleston, SC 29420-7364
Phone (843) 483-0193

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
I20211019002878 SC Practitioner - Nurse Practitioner 7012305360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Wound Care LLCGroup PAC ID 4587018437, 3 clinicians

Practice addresses (Care Compare)

2060 Charlie Hall Blvd
Suite a
Charleston, SC 29414-6066
Phone (843) 483-0193

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25257SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Scmwc Inc CurrentSince Jul 7, 2024 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Sep 20, 2021 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Sep 20, 2021 Accepting new patients
TCG Medical Specialists LLC CurrentSince Oct 27, 2024 Accepting new patients
Coastal Wound Care, LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

10089 Willow Creek Rd
Ste 200
San Diego, CA 92131
Phone (858) 621-1514

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

2060 Charlie Hall Blvd
Ste A
Charleston, SC 29414
Phone (843) 483-0193

1117 48th Ave N
Ste 124
Myrtle Beach, SC 29577
Phone (619) 289-9356

2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840

5401 Netherby Ln
Ste 301
North Charleston, SC 29420
Phone (843) 483-0193

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": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1437826716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX R",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313220939",
            "telephone_number": "912-232-9700",
            "fax_number": "912-748-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 CHARLIE HALL BLVD STE A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146066",
            "telephone_number": "843-483-0193",
            "fax_number": "839-213-4599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Burton Ave",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294858118",
            "country_code": "US",
            "telephone_number": "843-970-5379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5401 Netherby Ln Ste 301",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294207364",
            "country_code": "US",
            "telephone_number": "843-483-0193",
            "fax_number": "839-213-4599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COVELL",
        "first_name": "LISA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "25257",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "25257",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.