Individual provider Active NPI

Laura Leigh Matthews, CRNA

  • Certified Registered Nurse Anesthetist
  • Columbia, SC
National Provider Identifier
1558338657
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2471 Issued in SC
Practice address
123 Bellevalley LN
Columbia, SC 29223-3285
Phone
(803) 873-8600
NPI assigned
Mar 7, 2006
Last updated
Apr 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 2471 SC Primary

Addresses

Primary practice location

123 Bellevalley LN
Columbia, SC 29223-3285

Mailing address

123 Bellevalley Lane
Columbia, SC 29223
Phone (803) 873-8600

Other identifiers 1

IdentifierTypeStateIssuer
AN1410MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050712000357 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688600620 Reassigns benefits to 4 organizations
I20211004000177 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688600620 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Detroit Mercy School of Dentistry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

500 Jefferson St
Whiteville, NC 28472-3634
Phone (910) 642-8011

555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
6555NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Regional Anesthesia PLLC Anesthesiology CurrentSince Sep 1, 2022 Accepting new patients
Coastal Carolina Centers of Urology and Surgery LLC Current Accepting new patients
Columbus Regional Healthcare System CurrentSince Aug 1, 2021 Accepting new patients
McLeod Physician Associates II CurrentSince Sep 1, 2021 Accepting new patients
Columbus Regional Healthcare System CurrentSince Aug 1, 2021 Accepting new patients
Carolina Anesthesia Associates PA Anesthesiology CurrentSince Sep 1, 2022 Accepting new patients
Coastal Carolina Centers of Urology and Surgery LLC Anesthesiology CurrentSince Jul 24, 2020 Accepting new patients
McLeod Physician Associates II Anesthesiology Current Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Feb 1, 2019 Accepting new patients
McLeod Physician Associates II CurrentSince Sep 1, 2021 Accepting new patients
Sisters of Charity Providence Hospitals Nurse Anesthetist, Certified Registered Past Accepting new patients
American Anesthesiology Associates of Michigan, PC Anesthesiology Past Accepting new patients

Locations

2015 Randolph Rd
Ste 208
Charlotte, NC 28207
Phone (704) 602-6544

3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000

242A 9th Avenue Dr NE
Hickory, NC 28601
Phone (828) 327-6673

500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776

5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011

2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

822 Farrar Dr
Conway, SC 29526
Phone (843) 347-9587

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

3545 Highway 17
Ste 100
Murrells Inlet, SC 29576
Phone (843) 299-1717

101 Surgeons Dr
Myrtle Beach, SC 29579
Phone (803) 504-7194

827 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 286-2020

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1558338657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 BELLEVALLEY LANE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29223",
            "telephone_number": "803-873-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 BELLEVALLEY LN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292233285",
            "telephone_number": "803-873-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "LAURA",
        "middle_name": "LEIGH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "2471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN1410",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.