Lavanda Ayana Smoot Martin, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

29323 Issued in SC

Practice address

2724 W Palmetto St Ste 5
Florence, SC 29501-4909

Phone

(843) 799-2649

Fax

(843) 799-4224

NPI assigned

Aug 20, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lavanda.martin.1@32959.direct.athenahealth.com

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.

• Revived Medical Community Clinic

  • Clinic/Center
  • Florence, SC
  • NPI 1306653688
  NPD Authorized official
• Revived Medical Spa LLC

  • Clinic/Center
  • Holly Springs, GA
  • NPI 1538837737
  NPD

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1548936404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2724 W PALMETTO ST STE 5",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014909",
            "telephone_number": "843-799-2649",
            "fax_number": "843-799-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2724 W PALMETTO ST STE 5",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014909",
            "telephone_number": "843-799-2649",
            "fax_number": "843-799-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LAVANDA",
        "middle_name": "AYANA SMOOT",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "SC",
            "license": "236919",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "29323",
            "primary": true
        },
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deatrice Armetrice Martin
• Heather N Martin, PTA
• Jan Rhame Martin, OTR/L
• John Gary Martin, M.ED., LPC, LPCS
• Lauren Martin, PTA
• Nicholas Martin
• Ricky Ray Martin
• Jennifer Ashley Martineau, COTA/L
• Veronica Martinez
• Mary Sheahan Krainin, MSW, Lisw-CP

• Family Nurse Practitioner in Florence, SC
• Providers in Florence, 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 May 5, 2026; 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.

Verify at the official NPI Registry.