Individual provider Active NPI

Samantha Eloise Drew-Tackett, NP

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1467097352
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23428 Issued in SC
Practice address
4310 Hard Scrabble Rd
Columbia, SC 29229-9423
Phone
(803) 865-6682
NPI assigned
Nov 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 23428 SC Primary

Addresses

Primary practice location

4310 Hard Scrabble Rd
Columbia, SC 29229-9423

Mailing address

4310 Hard Scrabble Rd
Columbia, SC 29229-9423
Phone (803) 865-6682

Other practice location 1

7035 Saint Andrews Rd
Columbia, SC 29212-1177
Phone (803) 749-0924

Other practice location 2

1111 Knox Abbott Dr
Cayce, SC 29033-3323
Phone (803) 314-0660

Other practice location 3

3016 Longtown Commons Dr Ste 100
Columbia, SC 29229-7862
Phone (803) 314-0500

Other practice location 4

811 W Main St
Lexington, SC 29072-2507
Phone (803) 358-6100

Other practice location 5

557 Columbia Ave
Chapin, SC 29036-8324
Phone (803) 932-0655

Other practice location 6

154 Saluda Pointe Ct
Lexington, SC 29072-7295
Phone (803) 785-3590

Other identifiers 1

IdentifierTypeStateIssuer
1467097352MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sdrewtackett29101@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
I20200303001490 SC Practitioner - Nurse Practitioner 1052748076 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
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)

1111 Knox Abbott Dr
Cayce, SC 29033-3323
Phone (803) 314-0660

Hospital & facility affiliations

  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc CurrentSince Jan 1, 2025 Accepting new patients
Musc Community Physicians CurrentSince Oct 1, 2023 Accepting new patients
Musc Community Physicians CurrentSince Oct 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 Jan 1, 2025 Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1111 Knox Abbott Dr
Cayce, SC 29033
Phone (803) 314-0660

557 Columbia Ave
Chapin, SC 29036
Phone (803) 932-0655

1 Medical Park Dr
Chester, SC 29706
Phone (803) 581-3151

3016 Longtown Commons Dr
Ste 100
Columbia, SC 29229
Phone (803) 314-0500

7035 Saint Andrews Rd
Columbia, SC 29212
Phone (803) 749-0924

800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214

811 W Main St
Lexington, SC 29072

154 Saluda Pointe Dr
Lexington, SC 29072
Phone (803) 785-3580

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

Interoperability endpoints

  • Direct secure messaging: sdrewtackett29101@direct.lexmed.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1467097352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 HARD SCRABBLE RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292299423",
            "telephone_number": "803-865-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 HARD SCRABBLE RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292299423",
            "telephone_number": "803-865-6682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7035 Saint Andrews Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292121177",
            "country_code": "US",
            "telephone_number": "803-749-0924",
            "fax_number": "803-407-4101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Knox Abbott Dr",
            "address_purpose": "LOCATION",
            "city": "Cayce",
            "state": "SC",
            "postal_code": "290333323",
            "country_code": "US",
            "telephone_number": "803-314-0660",
            "fax_number": "803-314-0661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3016 Longtown Commons Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292297862",
            "country_code": "US",
            "telephone_number": "803-314-0500",
            "fax_number": "803-314-0501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "811 W Main St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290722507",
            "country_code": "US",
            "telephone_number": "803-358-6100",
            "fax_number": "803-358-6105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "557 Columbia Ave",
            "address_purpose": "LOCATION",
            "city": "Chapin",
            "state": "SC",
            "postal_code": "290368324",
            "country_code": "US",
            "telephone_number": "803-932-0655",
            "fax_number": "803-932-0571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "154 Saluda Pointe Ct",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290727295",
            "country_code": "US",
            "telephone_number": "803-785-3590",
            "fax_number": "803-785-3595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DREW-TACKETT",
        "first_name": "SAMANTHA",
        "middle_name": "ELOISE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "23428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467097352",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdrewtackett29101@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "1111 Knox Abbott Dr",
            "city": "Cayce",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290333323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.