Lexington County Health Services District, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.

Doing business as

Lexington Family Practice Summit

Practice address

103 Summit Centre Drive
Columbia, SC 29229

Phone

(803) 382-2450

Fax

(803) 382-2469

NPI assigned

Feb 13, 2019

Organization subpart

Yes

Parent organization

LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.As reported in NPPES

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

Authorized official

Name

Tiffany Ayers

Title

Credentialing Manager

Phone

(803) 935-8292

Specialties & licenses 1

Addresses

Other names 1

• Lexington Family Practice Summit Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Lexington County Health

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1760948863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 HULON LANE",
            "address_2": "ATTN: VP - REVENUE CYCLE",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29169",
            "telephone_number": "803-382-2450",
            "fax_number": "803-382-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SUMMIT CENTRE DRIVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29229",
            "telephone_number": "803-382-2450",
            "fax_number": "803-382-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "AYERS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "803-935-8292"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lexington Family Practice Summit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lexington Family Practice Summit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lexington County Health Services District, Inc.
• Lexington County Health Services District, Inc.
• Lexington County Health Services District, Inc.
• Lexington County Health Services District, Inc.
• Lexington County Health Services District, Inc.
• Lexington County Health Services District, Inc.
• Lexington County Health Services District, Inc.
• Lexington County Health Services District, Inc.
• Lexington County Health Services District, Inc.
• Lexington County Health Services District, Inc.

• Family Medicine Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.