Organization Active NPI

Gateway Medical LLC

  • Family Medicine Physician
  • Lexington, SC
National Provider Identifier
1649647884
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GATEWAY MEDICAL LLC
Practice address
171B Monroe LN
Lexington, SC 29072-3904
Phone
(803) 358-8496
Fax
(866) 614-3887
NPI assigned
Aug 24, 2015
Last updated
Jul 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Christina M Jeffcoat
Title
Coo/Exec VP
Phone
(803) 957-0500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

171B Monroe LN
Lexington, SC 29072-3904

Mailing address

PO Box 2169
Lexington, SC 29071-2169
Phone (803) 358-6762

Other identifiers 1

IdentifierTypeStateIssuer
GP7520MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151209000470 SC Part B Supplier - Clinic/Group Practice 5496056814 Receives reassigned benefits from 6 practitioners
Practice locations: Walhalla, SC; Seneca, SC; Lexington, SC; Greer, SC; Greenwood, SC; Columbia, SC; Chapin, 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
42D2193711Gateway Medical, LLC171B Monroe Lane, Lexington, SC 29072Certificate of waiverSep 23, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

719 Kershaw Hwy
Camden, SC 29020
Phone (803) 590-7322

431 E Boundary St
Chapin, SC 29036
Phone (803) 345-1911

3 Summit Ter
Columbia, SC 29229
Phone (803) 419-7040

440 Town Center Pl
Columbia, SC 29229
Phone (803) 828-3322

534 Wil Stel Rd
Columbia, SC 29210

116 Enterprise Ct
Greenwood, SC 29649
Phone (864) 388-9433

7142 Woodrow St
Irmo, SC 29063
Phone (803) 602-0300

171 Monroe Ln
Lexington, SC 29072
Phone (803) 358-8496

171 Monroe Ln
#B
Lexington, SC 29072
Phone (803) 358-8496

487 Highway 378
Lexington, SC 29072
Phone (803) 520-0985

5422 Augusta Rd
Lexington, SC 29072
Phone (803) 520-5850

320 Camp Rd
Walhalla, SC 29691
Phone (864) 638-5212

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1649647884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2169",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290712169",
            "telephone_number": "803-358-6762",
            "fax_number": "803-358-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171B MONROE LN",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723904",
            "telephone_number": "803-358-8496",
            "fax_number": "866-614-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "JEFFCOAT",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "COO/EXEC VP",
        "authorized_official_telephone_number": "803-957-0500"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP7520",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 24, 2025; 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.