Active NPI
Charles Hubert Lemoine III, NP
- Family Nurse Practitioner
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 27436
- Practice address
- 3 Richland Medical Park Dr Ste 310
Columbia, SC 29203-6862 - Phone
- (803) 434-8323
- Fax
- (803) 434-8326
- NPI assigned
- Jun 23, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11020279 | FL | |
| Family Nurse Practitioner | 363LF0000X | 27436 | SC | Primary |
Addresses
Primary practice location
3 Richland Medical Park Dr Ste 310
Columbia, SC 29203-6862
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, SC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
501 Redmond Rd NW
Rome, GA 30165-1415
Phone (706) 291-0291
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11020279 | FL | MD | Family Nurse Practitioner |
| 27436 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Family Medicine | Current | Accepting new patients |
| Hni Medical Services of Florida, LLC | Family Medicine | Current | Accepting new patients |
| Pensacola Hospitalist Physicians, LLC | Current | Accepting new patients | |
| Pensacola Hospitalist Physicians, LLC | Current | Accepting new patients | |
| Charleston Area Medical Center Inc | Past | Accepting new patients |
Locations
900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426
13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011
1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
3 Richland Medical Park Dr
Ste 3
Columbia, SC 29203
3 Richland Medical Park Dr
Ste 310
Columbia, SC 29203
Phone (803) 434-8323
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- clemoine707129@direct.ghs.myhfn.org
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Calhoun, GA
- NPI 1699791343
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
Family Medicine
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1679048284
Family Medicine
-
- Hospitalist Physician
- Pensacola, FL
- NPI 1487254140
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
-
- Hospitalist Physician
- Gulf Breeze, FL
- NPI 1578164497
-
- Psychiatric Hospital Unit
- Charleston, WV
- NPI 1265421226
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rome, GA
- NPI 1508810565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1487385977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-522-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 RICHLAND MEDICAL PARK DR STE 310",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036862",
"telephone_number": "803-434-8323",
"fax_number": "803-434-8326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMOINE",
"first_name": "CHARLES",
"middle_name": "HUBERT",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-23",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11020279",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "27436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.