Individual provider Active NPI

Alexia McKoy, FNP

  • Family Nurse Practitioner
  • Lake View, SC
National Provider Identifier
1508210501
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20061 Issued in SC
Practice address
103 N Kemper St
Lakeview, SC 29563
Phone
(843) 759-2189
Fax
(843) 479-2346
NPI assigned
Apr 16, 2016
Last updated
Oct 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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 20061 SC Primary

Addresses

Primary practice location

103 N Kemper St
Lakeview, SC 29563

Mailing address

PO Box 1090
Hartsville, SC 29551-1090
Phone (843) 857-0111

Other identifiers 1

IdentifierTypeStateIssuer
NP3872MedicaidSC

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
I20160620000393 SC Practitioner - Nurse Practitioner 2062703275 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Carolina School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lowcountry Urgent Care LLCGroup PAC ID 9739210337, 81 clinicians
Caresouth Carolina Inc.Group PAC ID 1052221314, 66 clinicians

Practice addresses (Care Compare)

2676 E Hwy 76
Mullins, SC 29574-6008
Phone (803) 433-5600

3080 Hwy 15-401 E
MC Coll, SC 29570-6128
Phone (843) 523-5751

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20061SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Medical Center-Dillon CurrentSince Feb 12, 2017 Accepting new patients
Lowcountry Urgent Care LLC CurrentSince Oct 1, 2021 Accepting new patients
McLeod Medical Center-Dillon CurrentSince Feb 12, 2017 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 15, 2025 Accepting new patients
Caresouth Carolina, Inc. CurrentSince May 2, 2016 Accepting new patients
Caresouth Carolina, Inc Past Accepting new patients

Locations

182C Sea Island Pkwy
Beaufort, SC 29907
Phone (843) 322-1933

2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (505) 340-5555

301 E Jackson St
Dillon, SC 29536
Phone (843) 774-1166

1268 S 4th St
Hartsville, SC 29550
Phone (843) 332-3422

3080 Highway 15-401 E
Mc Coll, SC 29570
Phone (843) 523-5751

2676 E Highway 76
Mullins, SC 29574
Phone (803) 433-5600

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: alexia.mckoy@csci.eclinicaldirectplus.com

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, 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": "1460764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1508210501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1090",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295511090",
            "telephone_number": "843-857-0111",
            "fax_number": "843-857-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N KEMPER ST",
            "city": "LAKEVIEW",
            "state": "SC",
            "postal_code": "29563",
            "telephone_number": "843-759-2189",
            "fax_number": "843-479-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKOY",
        "first_name": "ALEXIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-16",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP3872",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake View, SC

Sources for this page

Verify at the official NPI Registry.