Lexington County Health Services District, Inc.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.

Doing business as

Southeastern Orthopaedics and Sports Medicine
Southeastern Orthopaedics and Sports Medicine Chapin
Southeastern Orthopaedics and Sports Medicine Northeast

Practice address

146 East Hospital Dr
Ste 350
West Columbia, SC 29169-4800

Phone

(803) 936-7966

Fax

(803) 936-7938

NPI assigned

Dec 21, 2011

Organization subpart

Yes

Parent organization

LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.As reported in NPPES

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

Authorized official

Name

Tiffany Ayers

Title

Credentialing Manager

Phone

(803) 935-8292

Specialties & licenses 1

Addresses

Other names 3

• Southeastern Orthopaedics and Sports Medicine Doing business as
• Southeastern Orthopaedics and Sports Medicine Chapin Doing business as
• Southeastern Orthopaedics and Sports Medicine Northeast Doing business as

Part of

Lake Ridge Family Medicine

Locations

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1457620387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 HULON LANE",
            "address_2": "ATTN: VP - REVENUE CYCLE",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29169",
            "telephone_number": "803-936-7966",
            "fax_number": "803-936-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 EAST HOSPITAL DR",
            "address_2": "STE 350",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694800",
            "telephone_number": "803-936-7966",
            "fax_number": "803-936-7938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Summit Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292297613",
            "country_code": "US",
            "telephone_number": "803-936-7966",
            "fax_number": "803-936-7938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "557 Columbia Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Chapin",
            "state": "SC",
            "postal_code": "290368324",
            "country_code": "US",
            "telephone_number": "803-936-7966",
            "fax_number": "803-936-7938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.",
        "enumeration_date": "2011-12-21",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "AYERS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "803-935-8292"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeastern Orthopaedics and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southeastern Orthopaedics and Sports Medicine Chapin",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southeastern Orthopaedics and Sports Medicine Northeast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lexington County Health Services District, Inc. (Lexington Maternal Fetal Medicine)
• Lexington County Health Services District, Inc. (Outpatient Surgery Center Lexington Medical Center - WC)
• Lexington County Health Services District, Inc. (Lexington ENT)
• Lexington County Health Services District, Inc. (Lexington Family Practice West Columbia)
• Lexington County Health Services District, Inc. (Lexington Radiation Oncology)
• Lexington County Health Services District, Inc. (Southeastern Neurology and Memory Clinic)
• Lexington County Health Services District, Inc. (South Carolina OB/GYN Associates)
• Lexington County Health Services District, Inc. (Lexington Medical Specialists)
• Lexington County Health Services District, Inc. (Lakeside Pediatrics)
• Lexington County Health Services District, Inc. (Lexington Critical Care)

• Sports Medicine (Orthopaedic Surgery) Physician in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.