NPIMap

Organization Active NPI

Lexington County Health Services District, Inc.

Doing business as Harbison Medical Associates

  • Family Medicine Physician
  • Columbia, SC
National Provider Identifier
1538187497
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
Doing business as
Harbison Medical Associates
Practice address
7033 St. Andrews Road
Suite 205
Columbia, SC 29212
Phone
(803) 749-1155
Fax
(803) 749-1786
NPI assigned
Jul 18, 2006
Organization subpart
Yes
Parent organization
LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

7033 St. Andrews Road
Suite 205
Columbia, SC 29212

Mailing address

PO Box 896239
Charlotte, NC 28289-6239
Phone (803) 749-1155

Other identifiers 1

IdentifierTypeStateIssuer
GP3974MedicaidSC

Other names 1

  • Harbison Medical Associates Doing business as

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": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1538187497",
    "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": "803-749-1155",
            "fax_number": "803-749-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7033 ST. ANDREWS ROAD",
            "address_2": "SUITE 205",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29212",
            "telephone_number": "803-749-1155",
            "fax_number": "803-749-1786"
        }
    ],
    "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": "2006-07-18",
        "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": "GP3974",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbison Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Harbison Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

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.

Verify at the official NPI Registry.