South North Medical Center LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SOUTH NORTH MEDICAL CENTER LLC

Practice address

1 Thames Vly
Irmo, SC 29063-2469

Phone

(412) 273-0996

NPI assigned

May 15, 2026

Organization subpart

No

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

Authorized official

Name

Lense Tessema DuressoNPI 1578008991

Title

Owner

Phone

(412) 273-0996

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lense Tessema Duresso, MD

  • Internal Medicine Physician
  • Irmo, SC
  • NPI 1578008991
  NPD Authorized official

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

{
    "created_epoch": "1778803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1750210704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 THAMES VLY",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632469",
            "telephone_number": "412-273-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 THAMES VLY",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632469",
            "telephone_number": "412-273-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH NORTH MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-15",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "DURESSO",
        "authorized_official_first_name": "LENSE",
        "authorized_official_middle_name": "TESSEMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-273-0996"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.