Leah Lane Shutt Smith, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

30653 Issued in SC

Practice address

4568 Sunset Blvd
Lexington, SC 29072-9250

Phone

(803) 520-5144

Fax

(803) 462-0312

NPI assigned

Aug 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Leah Lane Shutt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Sandhills Pediatrics

  • Pediatrics Physician
  • Lexington, SC
  • NPI 1578542601
  NPD (past)
• South Carolina Pediatrics Alliance, LLC

  • Pediatric Adolescent Medicine Physician
  • Columbia, SC
  • NPI 1184016941
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1700990827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CLEMSON RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292294341",
            "telephone_number": "803-788-6146",
            "fax_number": "803-462-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4568 SUNSET BLVD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729250",
            "telephone_number": "803-520-5144",
            "fax_number": "803-462-0312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4080 Augusta Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "SC",
            "postal_code": "290548893",
            "country_code": "US",
            "telephone_number": "803-892-1800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4080 Augusta Hwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "SC",
            "postal_code": "290548893",
            "country_code": "US",
            "telephone_number": "803-314-9200",
            "fax_number": "803-314-9201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LEAH LANE",
        "middle_name": "SHUTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "200600241",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "30653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "SHUTT",
            "middle_name": "LANE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kassidy Smith
• Kaymarie Smith
• Kristen N Smith, FNP
• Lauren Michelle Smith
• Layla Monique Smith
• Marion Reilley Smith
• Monica Smith
• Natalie Brooke Smith, COTA
• Philip Edwin Smith, D.M.D.
• Rita Leake Smith, RDH

• Pediatrics Physician in Lexington, SC
• Providers in Lexington, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.