Active NPI
Lexington County Health Services District, Inc.
Doing business as Chapin Family Practice
- Family Medicine Physician
- Chapin, SC
National Provider Identifier
1508885666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
- Doing business as
- Chapin Family Practice
- Practice address
- 1612 Chapin Road
Chapin, SC 29036 - Phone
- (803) 345-3414
- Fax
- (803) 345-1672
- NPI assigned
- Jul 19, 2006
- Last updated
- Sep 25, 2020
- Organization subpart
- Yes
- Parent organization
- LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melinda P Kruzner
- Title
- Executive Vice President
- Phone
- (803) 791-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1612 Chapin Road
Chapin, SC 29036
Mailing address
PO Box 896239
Charlotte, NC 28289-6239
Phone (803) 345-3414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP4070 | Medicaid | SC |
Other names 1
- Chapin Family Practice
National Provider Directory
National Provider Directory- Part of
- Lake Ridge Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600992000000",
"number": "1508885666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 896239",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282896239",
"telephone_number": "803-345-3414",
"fax_number": "803-345-1672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 CHAPIN ROAD",
"city": "CHAPIN",
"state": "SC",
"postal_code": "29036",
"telephone_number": "803-345-3414",
"fax_number": "803-345-1672"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC",
"enumeration_date": "2006-07-19",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A",
"authorized_official_last_name": "KRUZNER",
"authorized_official_first_name": "MELINDA",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
"authorized_official_telephone_number": "803-791-2000"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP4070",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Chapin Family Practice",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Chapin Family Practice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chapin, SC
- Craig Maynor Leech, LMHC, LPC
- Matthew William Legray
- Lehmann Chiropractic, LLC
- Christopher George Lehmann, DC
- Lexington County Health Serv (Chapin Nuclear Medicine)
- Lexington County Health Services District, Inc. (Lexington Medical Center Chapin)
- Lexington County Health Services District, Inc. (Chapin Womens Care)
- Lexington County Health Services District, Inc. (Lake Ridge Family Medicine)
- Lexington Health Inc (Chapin Women's Care)
- Lexington Health Inc (Chapin Family Practice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.