Active NPI
Lucy Woltz Preyer, M.D.
- Psychiatry Physician
- Charleston, SC
National Provider Identifier
1700836301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 20256
- Practice address
- 1030 Jenkins Rd
Suite a
Charleston, SC 29407-5500 - Phone
- (843) 766-8820
- Fax
- (843) 766-8817
- NPI assigned
- May 12, 2006
- Last updated
- Sep 23, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 20256 | SC | Primary |
Addresses
Primary practice location
1030 Jenkins Rd
Suite a
Charleston, SC 29407-5500
Mailing address
1030 Jenkins Rd
Suite a
Charleston, SC 29407-5500
Phone (843) 766-8820
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202569 | Medicaid | SC | |
| GP371 | Other | SC | MEDICAID GROUP |
| 7775 | Other | SC | MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- lucy.preyer.1@14847.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474588800000",
"number": "1700836301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 JENKINS RD",
"address_2": "SUITE A",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294075500",
"telephone_number": "843-766-8820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 JENKINS RD",
"address_2": "SUITE A",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294075500",
"telephone_number": "843-766-8820",
"fax_number": "843-766-8817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREYER",
"first_name": "LUCY",
"middle_name": "WOLTZ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2016-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "20256",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202569",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "GP371",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "7775",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.