Individual provider Active NPI

Adrian Johnson Caughman

  • Nurse Practitioner
  • Lexington, SC
National Provider Identifier
1689442824
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28432 Issued in SC
Practice address
2006 Augusta Hwy
Lexington, SC 29072-2208
Phone
(803) 785-4747
Fax
(803) 785-4750
NPI assigned
Dec 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 255561 SC
Nurse Practitioner 363L00000X 28432 SC Primary

Addresses

Primary practice location

2006 Augusta Hwy
Lexington, SC 29072-2208

Mailing address

416 Shirey Branch Rd
Leesville, SC 29070-7571
Phone (803) 687-7244

Other names 1

  • Adrian Suzanne Johnson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address acaughman80185@direct.lexmed.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240312003307 SC Practitioner - Nurse Practitioner 8426494469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

103 Summit Centre Dr
Columbia, SC 29229-7613
Phone (803) 382-2450

2006 Augusta Hwy
Lexington, SC 29072-2208
Phone (803) 785-4747

3314 Platt Springs Rd
West Columbia, SC 29170-2204
Phone (803) 739-9854

4080 Augusta Hwy
Gilbert, SC 29054-8893

5143 Forest Dr
Columbia, SC 29206-4918

557 Columbia Ave
Chapin, SC 29036-8324

565 Columbia Ave
Chapin, SC 29036-8324

707 Old Cherokee Rd
Lexington, SC 29072-9040
Phone (803) 314-9110

76 Polo Rd
Columbia, SC 29223-2806
Phone (803) 699-7255

811 W Main St
Lexington, SC 29072-2500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28432SCMDNurse Practitioner
255561SCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc Current Accepting new patients
Lexington Health Inc CurrentSince Mar 1, 2024 Accepting new patients
Lexington Health Inc CurrentSince Mar 1, 2024 Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients

Locations

2006 Augusta Hwy
Lexington, SC 29072
Phone (803) 358-6400

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

Interoperability endpoints

  • Direct secure messaging: acaughman80185@direct.lexmed.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1689442824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 SHIREY BRANCH RD",
            "city": "LEESVILLE",
            "state": "SC",
            "postal_code": "290707571",
            "telephone_number": "803-687-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 AUGUSTA HWY",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722208",
            "telephone_number": "803-785-4747",
            "fax_number": "803-785-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUGHMAN",
        "first_name": "ADRIAN",
        "middle_name": "JOHNSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "SC",
            "license": "255561",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "28432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acaughman80185@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "2006 Augusta Hwy",
            "city": "Lexington",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290722208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ADRIAN",
            "last_name": "JOHNSON",
            "middle_name": "SUZANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, SC

Sources for this page

Verify at the official NPI Registry.