Active NPI
Alexia McKoy, FNP
- Family Nurse Practitioner
- Lake View, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 20061
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP3872 | Medicaid | SC |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20061 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Medical Center-Dillon | Current | Accepting new patients | |
| Lowcountry Urgent Care LLC | Current | Accepting new patients | |
| McLeod Medical Center-Dillon | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Caresouth Carolina, Inc. | Current | 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
- 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.
-
dba Lowcountry Urgent Care
- Primary Care Nurse Practitioner
- Beaufort, SC
- NPI 1326364100
-
- Federally Qualified Health Center (FQHC)
- Hartsville, SC
- NPI 1720082571
-
dba McLeod Dillon Emergency
- Hospitalist Physician
- Dillon, SC
- NPI 1720033988
-
- Federally Qualified Health Center (FQHC)
- Lake View, SC
- NPI 1780627943
-
- Medicare Defined Swing Bed Hospital Unit
- Dillon, SC
- NPI 1124487541
-
- Federally Qualified Health Center (FQHC)
- Bennettsville, SC
- NPI 1457398521
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dillon, SC
- NPI 1598746141
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.