Active NPI
Kimberly Celeste Mouzon, APRN
- Acute Care Nurse Practitioner
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 20236
- Practice address
- 3016 Longtown Commons Dr Ste 100
Columbia, SC 29229-7862 - Phone
- (803) 314-0500
- Fax
- (803) 314-0501
- NPI assigned
- Jun 13, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 20236 | SC | Primary |
| Family Nurse Practitioner | 363LF0000X | 20236 | SC |
Addresses
Primary practice location
3016 Longtown Commons Dr Ste 100
Columbia, SC 29229-7862
Mailing address
PO Box 6069
West Columbia, SC 29171-6069
Phone (803) 791-2000
Other practice location 1
1041 N China Lake Blvd
Ridgecrest, CA 93555-3168
Phone (760) 446-3551
Other practice location 2
4621 Hard Scrabble Rd
Columbia, SC 29229-8584
Phone (803) 736-8955
Other names 1
- Ms. Kimberly Celeste James
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | unknown | Other | |
| Direct Messaging Address | kmouzon159785@direct.lexmed.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, MD, SC, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of South Carolina School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3016 Longtown Commons Dr
Columbia, SC 29229-7849
7035 Saint Andrews Rd
Columbia, SC 29212-1177
Phone (803) 407-4100
7037 Saint Andrews Rd
Columbia, SC 29212-1177
Phone (803) 732-0963
7043 Saint Andrews Rd
Columbia, SC 29212-1177
Phone (803) 791-2683
7045 Saint Andrews Rd
Columbia, SC 29212-1177
Phone (803) 936-7590
811 W Main St
Lexington, SC 29072-2500
811 W Main St
Lexington, SC 29072-2507
Phone (803) 358-6120
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.09 of 100
- Quality
- 68.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20236 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Health Inc | Current | Accepting new patients | |
| Lexington Health Inc | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| Medstar Urgent Care, LLC | Current | Accepting new patients | |
| Chase Dennis Emergency Medical Group Inc | Current | Accepting new patients | |
| Lexington Health Inc | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| Lexington County Health Services District, Inc. | Past | Accepting new patients |
Locations
1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600
1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616
2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601
6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890
12 Medstar Blvd
Bel Air, MD 21015
Phone (410) 877-8087
1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440
5009 Honeygo Center Dr
Ste 216
Perry Hall, MD 21128
Phone (410) 235-5405
3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960
11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505
1111 Knox Abbott Dr
Cayce, SC 29033
Phone (803) 314-0660
557 Columbia Ave
Chapin, SC 29036
Phone (803) 932-0655
3016 Longtown Commons Dr
Ste 100
Columbia, SC 29229
Phone (803) 314-0500
7035 Saint Andrews Rd
Columbia, SC 29212
Phone (803) 749-0924
154 Saluda Pointe Dr
Lexington, SC 29072
Phone (803) 785-3580
811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230
811 W Main St
Lexington, SC 29072
2000 15th St N
Ste 600
Arlington, VA 22201
Phone (202) 425-0000
Organizations & group practices 11
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.
-
dba Lexington Orthopaedic and Sports Medicine
- Sports Medicine (Orthopaedic Surgery) Physician
- West Columbia, SC
- NPI 1710634753
-
- Emergency Medicine Physician
- Santa Rosa, CA
- NPI 1033152350
-
- General Practice Physician
- Baltimore, MD
- NPI 1184046187
-
dba MedStar PromptCare
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1902175870
-
dba MedStar PromptCare-Wheaton
- Urgent Care Clinic/Center
- Wheaton, MD
- NPI 1871843409
DC
-
dba LMC Urgent Care Saluda Pointe
- Urgent Care Clinic/Center
- Lexington, SC
- NPI 1275131310
-
dba Lexington Internal Medicine
- Internal Medicine Physician
- West Columbia, SC
- NPI 1942190988
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
- General Practice Physician
- Lexington Park, MD
- NPI 1275410474
-
dba Lexington Medical Center Irmo
- Urgent Care Clinic/Center
- Columbia, SC
- NPI 1396778056
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lexington Medical Center
- General Acute Care Hospital
- West Columbia, SC
- NPI 1386241834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1689024473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6069",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291716069",
"telephone_number": "803-791-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3016 LONGTOWN COMMONS DR STE 100",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292297862",
"telephone_number": "803-314-0500",
"fax_number": "803-314-0501"
}
],
"practiceLocations": [
{
"address_1": "1041 N China Lake Blvd",
"address_purpose": "LOCATION",
"city": "Ridgecrest",
"state": "CA",
"postal_code": "935553168",
"country_code": "US",
"telephone_number": "760-446-3551",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4621 Hard Scrabble Rd",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292298584",
"country_code": "US",
"telephone_number": "803-736-8955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOUZON",
"first_name": "KIMBERLY",
"middle_name": "CELESTE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-13",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "SC",
"license": "20236",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "20236",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "unknown",
"affiliation": "N",
"endpointDescription": "unknown",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "unknown",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "unknown",
"address_1": "4621 Hard Scrabble Rd",
"city": "Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "292298584",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmouzon159785@direct.lexmed.com",
"affiliation": "N",
"address_1": "3016 Longtown Commons Dr Ste 100",
"city": "Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "292297862",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "JAMES",
"middle_name": "CELESTE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
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 Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.