Individual provider Active NPI

Jacquelyn F Van Dam, MD

  • Physical Medicine & Rehabilitation Physician
  • West Columbia, SC
National Provider Identifier
1477703940
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
22508 Issued in SC
Practice address
146 E Hospital Dr Ste 141
West Columbia, SC 29169-4800
Phone
(803) 314-9640
Fax
(803) 314-9641
NPI assigned
Sep 22, 2008
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 22508 SC Primary

Addresses

Primary practice location

146 E Hospital Dr Ste 141
West Columbia, SC 29169-4800

Mailing address

PO Box 6069
West Columbia, SC 29171-6069
Phone (803) 314-9640

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jvandam13323@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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090127000040 SC Practitioner - Physical Medicine and RehabilitationPractitioner - Emergency Medicine 4981768579 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Georgetown University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians
Palmetto Bone and JointGroup PAC ID 4385545565, 12 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

145 Sunset CT
Suite 200
West Columbia, SC 29169-2464
Phone (803) 314-9360

22971 Hwy 76 E
Clinton, SC 29325
Phone (864) 833-3046

2704 Kinard St
Newberry, SC 29108-2908
Phone (803) 321-6254

5232 Sunset Blvd
BLDG 300
Lexington, SC 29072-9347
Phone (803) 756-4744

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington County Health Services District Inc Current Accepting new patients
Lexington Health Inc CurrentSince Jun 1, 2025 Accepting new patients
Palmetto Bone and Joint Physical Medicine & Rehabilitation CurrentSince Sep 3, 2012 Accepting new patients
Lexington Health Inc CurrentSince Jun 1, 2025 Accepting new patients
Providence Orthopaedic Group LLC Past Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients

Locations

22971 Highway 76 E
Clinton, SC 29325
Phone (803) 833-3046

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

2541 Evans St
Ste 300
Newberry, SC 29108
Phone (803) 321-6254

2704 Kinard St
Newberry, SC 29108
Phone (803) 321-6254

145 Sunset Ct
Ste 200
West Columbia, SC 29169
Phone (803) 314-9360

146 E Hospital Dr
Ste 141
West Columbia, SC 29169
Phone (803) 314-9640

Interoperability endpoints

  • Direct secure messaging: jvandam13323@direct.lexmed.com

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": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1477703940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069",
            "telephone_number": "803-314-9640",
            "fax_number": "803-314-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 E HOSPITAL DR STE 141",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694800",
            "telephone_number": "803-314-9640",
            "fax_number": "803-314-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DAM",
        "first_name": "JACQUELYN",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-22",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "22508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jvandam13323@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "146 E Hospital Dr Ste 141",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291694800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.