Individual provider Active NPI

Lauren Simpson Tipton, MD

  • Pediatrics Physician
  • Charleston, SC
National Provider Identifier
1770922601
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
36051 Issued in SC
Practice address
1243 Savannah Hwy Ste B
Charleston, SC 29407-7817
Phone
(843) 556-8110
Fax
(843) 556-8112
NPI assigned
Jun 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 36051 SC Primary

Addresses

Primary practice location

1243 Savannah Hwy Ste B
Charleston, SC 29407-7817

Mailing address

1243 Savannah Hwy Ste B
Charleston, SC 29407-7817
Phone (843) 556-8110

Other identifiers 1

IdentifierTypeStateIssuer
360512MedicaidSC

Other names 1

  • Lauren Chantal Simpson Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141104000816 SC Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1153543392

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36051SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Parkwood Pediatric Group PA Pediatrics Past Accepting new patients
Carolina Family Care, Inc Pediatrics Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1770922601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 SAVANNAH HWY STE B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077817",
            "telephone_number": "843-556-8110",
            "fax_number": "843-556-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 SAVANNAH HWY STE B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077817",
            "telephone_number": "843-556-8110",
            "fax_number": "843-556-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPTON",
        "first_name": "LAUREN",
        "middle_name": "SIMPSON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "36051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "360512",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "SIMPSON",
            "middle_name": "CHANTAL",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.