Colleen D Lyons, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

109 Issued in SC

Practice address

10160 Dorchester Rd
Summerville, SC 29485-8527

Phone

(843) 871-7900

Fax

(843) 871-8731

NPI assigned

May 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Medical University of South Carolina College of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Novant Health Urgent Cares LLCGroup PAC ID 8628502598, 183 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Novant Health Urgent Cares LLC

  dba Novant Health Urgent Care

  • Urgent Care Clinic/Center
  • Anderson, SC
  • NPI 1841026382
  Medicare reassignment Care Compare group NPD
• Black River Healthcare, Inc.

  • Family Medicine Physician
  • Olanta, SC
  • NPI 1508809542
  NPD (past)
• Black River Healthcare, Inc.

  dba Black River Healthcare - Manning Medical

  • Family Medicine Physician
  • Manning, SC
  • NPI 1992077424
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1548218142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749306",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10160 DORCHESTER RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858527",
            "telephone_number": "843-871-7900",
            "fax_number": "843-871-8731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 W South St",
            "address_purpose": "LOCATION",
            "city": "Manning",
            "state": "SC",
            "postal_code": "291022925",
            "country_code": "US",
            "telephone_number": "803-433-6790 x216",
            "fax_number": "803-433-6796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYONS",
        "first_name": "COLLEEN",
        "middle_name": "D",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica of America Inc. (Target Optical #4667)
• Caitlin Rose Lybrand, LPC
• Michelle Andrea Lyles, MSN, APRN, FNP-C
• Lymin Inc (Miracle Ear)
• Brittany Elizabeth Lyons, DO
• Marissa Pearl Mabry Simpson, COTA/L
• Valerie Ann Mabry
• Patrick Ryan Macconnell, OTD, MS, OTR/L, AT
• Randall Mackendrick, M.ED., LPC
• Bernadette Payne Macleod, CPNP

• Family Nurse Practitioner in Summerville, SC
• Providers in Summerville, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.
• 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.