Active NPI
Gregory E. Lyman, M.D.
- Obstetrics & Gynecology Physician
- West Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 18131
- Practice address
- 222 E Medical LN Ste 300
West Columbia, SC 29169-4848 - Phone
- (803) 936-8100
- Fax
- (803) 936-8130
- NPI assigned
- Nov 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 18131 | MS | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 11401 | SC |
Addresses
Primary practice location
222 E Medical LN Ste 300
West Columbia, SC 29169-4848
Mailing address
PO Box 6069
West Columbia, SC 29171-6069
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 730-10193 | Other | BLUE CROSS OF AL | |
| P00041393 | Other | RAILROAD MEDICARE | |
| 01550224 | Medicaid | MS | |
| 009924445 | Medicaid | AL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | glyman7785@direct.lexmed.com |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11401 | SC | MD | Professional Counselor |
| 18131 | MS | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Health Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Lexington Health Inc | Current | Accepting new patients | |
| Lexington Health Inc | Current | Accepting new patients | |
| T-Medica Mobil Anesthesia Inc. | Past | Accepting new patients |
Locations
7045 Saint Andrews Rd
Columbia, SC 29212
Phone (803) 836-7590
1 Wellness Blvd
Ste 203
Irmo, SC 29063
Phone (803) 732-4608
811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230
935 W 2nd St
Swansea, SC 29160
Phone (803) 568-2000
222 E Medical Ln
Ste 300
West Columbia, SC 29169
Phone (803) 739-3570
2728 Sunset Blvd
Ste 201
West Columbia, SC 29169
Phone (803) 254-1300
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.
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- NPI 1487252508
-
- Internal Medicine Physician
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- NPI 1942190988
-
- Certified Registered Nurse Anesthetist
- Meridian, ID
- NPI 1306588355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604880000000",
"number": "1528040375",
"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": "222 E MEDICAL LN STE 300",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291694848",
"telephone_number": "803-936-8100",
"fax_number": "803-936-8130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYMAN",
"first_name": "GREGORY",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2020-11-09",
"certification_date": "2020-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MS",
"license": "18131",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "SC",
"license": "11401",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF AL",
"identifier": "730-10193",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00041393",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01550224",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009924445",
"state": "AL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "glyman7785@direct.lexmed.com",
"affiliation": "N",
"address_1": "222 E Medical Ln Ste 300",
"city": "West Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "291694848",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.