Crescent Health Partners

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CRESCENT HEALTH PARTNERS

Doing business as

Crescent Health DME
Crescent Health Express Care
Crescent Health Wellness Clinic1 more in Other names

Practice address

212 Broad Street
Sumter, SC 29150-4102

Phone

(803) 580-4747

NPI assigned

Jun 28, 2024

Organization subpart

No

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

Authorized official

Name

Lisa J Rivera, FNPNPI 1245852631

Title

Coowner

Phone

(803) 883-4033

Specialties & licenses 11

Addresses

Other names 11

• Crescent Health DME Doing business as
• Crescent Health Express Care Doing business as
• Crescent Health Wellness Clinic Doing business as
• Crescent Wound and Medical Clinic Doing business as
• Crescent Health Primary Care Other name
• Crescent Medical Clinic Other name
• Crescent Medical Foot Spa Other name
• Crescent Mobile Medical Care Other name
• Crescent Mobile Wound Care Other name
• Crescent Occupational Health Clinic Other name
• Crescent Wound Care Clinic Other name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa J Rivera, APN

  • Family Nurse Practitioner
  • West Columbia, SC
  • NPI 1245852631
  Medicare reassignment NPD Authorized official
• Kimberly Dianne Billie Jackson, AGNP-C

  • Community Health Clinic/Center
  • Sumter, SC
  • NPI 1588293278
  Medicare reassignment NPD

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1568207702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291510141",
            "telephone_number": "803-883-4033",
            "fax_number": "803-883-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 BROAD STREET",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504102",
            "telephone_number": "803-580-4747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7356 Garners Ferry Rd Ste 127",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292092146",
            "country_code": "US",
            "telephone_number": "803-580-4747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CRESCENT HEALTH PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COOWNER",
        "authorized_official_telephone_number": "803-883-4033",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crescent Health DME",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crescent Health Express Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crescent Health Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crescent Wound and Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crescent Health Primary Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Crescent Medical Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Crescent Medical Foot Spa",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Crescent Medical Foot Spa",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Crescent Mobile Medical Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Crescent Mobile Wound Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Crescent Occupational Health Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Crescent Wound Care Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mark Macgregor Crabbe, MD
• Chrishena E Craig, LMSW
• Ruth A Crannell, CRNA
• Gissell Cravener, BA
• Crescent Family and Cosmetic Dentistry
• Michelle Lett Crisler, OTR L
• Rebekah Crolley
• Heather Cromer
• Michael Crosier
• Nichole Cross, RPH

• Multi-Specialty Clinic/Center in Sumter, SC
• Providers in Sumter, SC by specialty
• Multi-Specialty Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.