Individual provider Active NPI

Jeffrey E Lanford, MD

  • Vascular Surgery Physician
  • Greenwood, SC
National Provider Identifier
1619083060
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
15821 Issued in SC
Practice address
160 Academy Ave
Greenwood, SC 29646-3808
Phone
(864) 223-8090
Fax
(864) 223-4026
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 15821 SC Primary

Addresses

Primary practice location

160 Academy Ave
Greenwood, SC 29646-3808

Mailing address

160 Academy Ave
Greenwood, SC 29646-3808
Phone (864) 223-8090

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jlanford127094@selfregional.direct-ci.net

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100816000794 SC Practitioner - Vascular Surgery 8022109370 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Self Regional Healthcare Partners CurrentSince Oct 27, 2021 Accepting new patients
Self Medical Group Vascular Surgery CurrentSince May 1, 2016 Accepting new patients
Self Medical Group CurrentSince May 1, 2016 Accepting new patients
Self Regional Healthcare Partners Current Accepting new patients
Self Regional Healthcare Partners CurrentSince Oct 27, 2021 Accepting new patients
Self Medical Group Current Accepting new patients
Self Regional Healthcare Past Accepting new patients
Self Medical Group PastSince May 7, 2024 Accepting new patients

Locations

75 Remittance Dr
Dept 6875
Chicago, IL 60675

75 Remittance Dr
Dept 6764
Chicago, IL 60675

23013 Highway 76 E
#A
Clinton, SC 29325
Phone (864) 223-8090

155 Ridge Medical Plaza Rd
Edgefield, SC 29824
Phone (803) 637-3146

300 Ridge Medical Plaza Rd
Edgefield, SC 29824
Phone (803) 637-3174

160 Academy Ave
Greenwood, SC 29646
Phone (864) 223-7809

1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

Interoperability endpoints

  • Direct secure messaging: jlanford127094@selfregional.direct-ci.net

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1619083060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ACADEMY AVE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463808",
            "telephone_number": "864-223-8090",
            "fax_number": "864-223-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ACADEMY AVE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463808",
            "telephone_number": "864-223-8090",
            "fax_number": "864-223-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANFORD",
        "first_name": "JEFFREY",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "SC",
            "license": "15821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlanford127094@selfregional.direct-ci.net",
            "affiliation": "N",
            "address_1": "160 Academy Ave",
            "city": "Greenwood",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296463808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.