Organization Active NPI

South Carolina My Care Team

  • Primary Care Clinic/Center
  • Lexington, SC
National Provider Identifier
1588327050
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SOUTH CAROLINA MY CARE TEAM
Doing business as
SC My Care
Practice address
201 Caughman Farm LN
Lexington, SC 29072-7342
Phone
(803) 771-1993
NPI assigned
Oct 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Authorized official

Name
Dr. Christopher Cooper, MDNPI 1932511151
Title
Ceo
Phone
(803) 629-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Long Term Care Hospital 282E00000X

Addresses

Primary practice location

201 Caughman Farm LN
Lexington, SC 29072-7342

Mailing address

214 Old Chapin Rd
Lexington, SC 29072-2030
Phone (803) 629-1900

Other names 1

  • SC My Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220323002561 SC Part B Supplier - Clinic/Group Practice 2961897244 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, SC

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2243873South Carolina My Care Team201 Caughman Farm Lane, Lexington, SC 29072Certificate of waiverNov 22, 2027

National Provider Directory

National Provider Directory

Locations

214 Old Chapin Rd
Lexington, SC 29072
Phone (803) 629-1900

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1588327050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 OLD CHAPIN RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722030",
            "telephone_number": "803-629-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CAUGHMAN FARM LN",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727342",
            "telephone_number": "803-771-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA MY CARE TEAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-629-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SC My Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SC My Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.