Individual provider Active NPI

Gregory E. Lyman, M.D.

  • Obstetrics & Gynecology Physician
  • West Columbia, SC
National Provider Identifier
1528040375
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
18131 Issued in MS
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

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
730-10193OtherBLUE CROSS OF AL
P00041393OtherRAILROAD MEDICARE
01550224MedicaidMS
009924445MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061012000036 SC Practitioner - Obstetrics/Gynecology 9537165774 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11401SCMDProfessional Counselor
18131MSMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc Obstetrics & Gynecology CurrentSince Feb 1, 2021 Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Lexington Health Inc Current Accepting new patients
T-Medica Mobil Anesthesia Inc. PastSince Apr 17, 2022 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.

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

Verify at the official NPI Registry.