Active NPI
Lisa Covell, APRN
- Nurse Practitioner
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 25257
- 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, 2024
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25257 | SC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Primary Care Physicians, LLC | Current | Accepting new patients | |
| Scmwc Inc | Current | Accepting new patients | |
| Palmetto Primary Care Physicians, LLC | Current | Accepting new patients | |
| Palmetto Primary Care Physicians, LLC | Current | Accepting new patients | |
| TCG Medical Specialists LLC | Current | Accepting new patients | |
| Coastal Wound Care, LLC | Current | 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.
-
- Emergency Medicine Physician
- Charleston, SC
- NPI 1811681018
-
dba PPCP Canterbury House
- Family Medicine Physician
- Charleston, SC
- NPI 1073234928
-
- Family Medicine Physician
- Summerville, SC
- NPI 1366123739
-
- Clinical Medical Laboratory
- N Charleston, SC
- NPI 1659660645
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Myrtle Beach, SC
- NPI 1356187132
-
- Emergency Medicine Physician
- Charleston, SC
- NPI 1740614460
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Roper St. Francis Intensivist Services
- General Acute Care Hospital
- Summerville, SC
- NPI 1336603646
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.