Lexington County Health Services District, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.

Practice address

4080 Augusta Hwy
Gilbert, SC 29054-8893

Phone

(803) 892-1800

Fax

(803) 892-1800

NPI assigned

Jul 7, 2006

Organization subpart

Yes

Parent organization

LEXINGTON MEDICAL CENTER GILBERTAs reported in NPPES

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

Authorized official

Name

Melinda Sarvis

Title

Executive Vice President

Phone

(803) 791-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• dba Lexington Family Practice Gilbert Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Lexington County Health

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1528091303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 HULON LANE",
            "address_2": "ATTN: VP REVENUE CYCLE",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694841",
            "telephone_number": "803-791-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 AUGUSTA HWY",
            "city": "GILBERT",
            "state": "SC",
            "postal_code": "290548893",
            "telephone_number": "803-892-1800",
            "fax_number": "803-892-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEXINGTON MEDICAL CENTER GILBERT",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "SARVIS",
        "authorized_official_first_name": "MELINDA",
        "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": "GP2522",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Lexington Family Practice Gilbert",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elise Johnson, M.S. CCC-SLP
• Leanne Marie Kyzer, PHARMD
• Samantha Lamons
• Ashlyn Clarke Lander, PHARMD
• Karen McCabe Larusso, M.A.CCC-SLP
• Gabrielle Monica Linares, PTA
• Shannon Parker Medlin, M.S.P.
• Bevin Whitman Metts
• Byron Millwood, M.S., ATC, SCAT
• Morgan'S Pharmacy

• All providers in Gilbert, SC
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.