NPIMap

Individual provider Active NPI

Gerald A Fishman, MD

  • Family Medicine Physician
  • Columbia, SC
National Provider Identifier
1508873019
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8885 Issued in SC
Practice address
1526 Lake Murray Blvd
Columbia, SC 29212-8622
Phone
(803) 749-1155
Fax
(803) 791-2203
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 8885 SC
Family Medicine Physician 207Q00000X 8885 SC Primary

Addresses

Primary practice location

1526 Lake Murray Blvd
Columbia, SC 29212-8622

Mailing address

PO Box 6069
West Columbia, SC 29171-6069

Other practice location 1

7033 Saint Andrews Rd
Ste205
Columbia, SC 29212-1179
Phone (803) 749-1155

Other identifiers 1

IdentifierTypeStateIssuer
088853MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gfishman14713@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100204000634 SC Practitioner - Family PracticePractitioner - General Practice 1759424377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

1526 Lake Murray Blvd
Columbia, SC 29212-8622
Phone (803) 749-1155

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc Family Medicine CurrentSince Feb 1, 2021 Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Lexington Health Inc Family Medicine Current Accepting new patients

Locations

7033 Saint Andrews Rd
Ste 205
Columbia, SC 29212
Phone (803) 749-1155

76 Polo Rd
Columbia, SC 29223
Phone (803) 699-7255

1526 Lake Murray Blvd
Columbia, SC 29212
Phone (803) 749-1155

811 W Main St
Ste 212
Lexington, SC 29072
Phone (803) 358-6180

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

Organizations & group practices 4

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.

Hospital & facility affiliations 12

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1508873019",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 LAKE MURRAY BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292128622",
            "telephone_number": "803-749-1155",
            "fax_number": "803-791-2203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7033 Saint Andrews Rd",
            "address_2": "Ste205",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292121179",
            "country_code": "US",
            "telephone_number": "803-749-1155",
            "fax_number": "803-749-1786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHMAN",
        "first_name": "GERALD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "SC",
            "license": "8885",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "8885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088853",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gfishman14713@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "7033 Saint Andrews Rd",
            "address_2": "Ste205",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292121179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.