Lyons Heart Primary Care LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LYONS HEART PRIMARY CARE LLC

Practice address

7623 Wilson Blvd
Columbia, SC 29203

Phone

(844) 759-6647

NPI assigned

May 2, 2022

Organization subpart

No

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

Authorized official

Name

Sherri Latosha McCain, NURSE PRACTITIONERNPI 1730558677

Title

Owner

Phone

(844) 759-6647

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sherri Latosha McCain, FNP

  • Family Nurse Practitioner
  • Columbia, SC
  • NPI 1730558677
  Medicare reassignment NPD Authorized official
• Debra R. Smart

  • Professional Counselor
  • Columbia, SC
  • NPI 1285040279
  NPD (past)

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1497490676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7623 WILSON BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292034385",
            "telephone_number": "844-759-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7623 WILSON BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "844-759-6647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5816 Shakespeare Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292237233",
            "country_code": "US",
            "telephone_number": "803-361-3244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LYONS HEART PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "MCCAIN",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "LATOSHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "844-759-6647",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1730558677",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riley Lynch
• Ross David Lynch, MD
• Annette Williams Lynn, M.D.
• Kelly Noelle Lynn, PHARM D
• Robyn Lynn, MS, CCC-SLP
• Tracey Michelle Lyons-White, PA-C
• Carra Lyons, MD
• Daniel Lyons, PT, DPT
• Jeanne Lyons, RBT
• Kimberly Jane Lyons, R.PH.

• Clinic/Center in Columbia, SC
• Providers in Columbia, SC by specialty
• Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.