Individual provider Active NPI

Silvestro J Lijoi, D.O.

  • Family Medicine Physician
  • Summerville, SC
National Provider Identifier
1780679118
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1545 Issued in SC
Practice address
1114 N Main St
Summerville, SC 29483-7326
Phone
(843) 212-8070
Fax
(843) 212-8071
NPI assigned
Sep 12, 2005
Last updated
Mar 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2007-00071 NC
Family Medicine Physician 207Q00000X 0102201388 VA
Family Medicine Physician 207Q00000X 2007-00071 NC
Family Medicine Physician 207Q00000X 1545 SC Primary

Addresses

Primary practice location

1114 N Main St
Summerville, SC 29483-7326

Mailing address

PO Box 751649
Charlotte, NC 28275-1649

Other practice location 1

4278 Ladson Rd
Ladson, SC 29456-5452
Phone (843) 203-2240

Other identifiers 4

IdentifierTypeStateIssuer
015450MedicaidSC
1545OtherSCSC MEDICAL LICENSE
5905797MedicaidNC
010069777MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070424000098 NC Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 7012996135 Reassigns benefits to 3 organizations
I20151216002463 SC Practitioner - Family Practice 7012996135 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartanburg Medical CenterGroup PAC ID 3072425297, shared by 17 NPIs, 1,060 clinicians
Onespotmd Primary and Urgent Care PLLCGroup PAC ID 4183036650, shared by 2 NPIs, 4 clinicians

Practice addresses (Care Compare)

1200 E Main St
Suite 12
Spartanburg, SC 29307-1738
Phone (864) 560-9260

2017 Central Ave
Suite 103
Charlotte, NC 28205-5388
Phone (704) 904-2133

2114 Freeman Park Dr
Suite 105
Charlotte, NC 28273-3238
Phone (704) 731-8656

2995 Reidville Rd
Suite 100
Spartanburg, SC 29301-5600
Phone (864) 587-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1545SCMDOptometrist
2007-00071NCMDEmergency Medicine Physician
MB67018NJMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center Family Medicine CurrentSince Mar 1, 2025 Accepting new patients
Onespotmd Primary and Urgent Care PLLC Emergency Medicine CurrentSince Nov 1, 2020 Accepting new patients
Anmed Health Current Accepting new patients
Spartanburg Medical Center Family Medicine Current Accepting new patients
Anmed Health Family Medicine CurrentSince Apr 4, 2022 Accepting new patients
Cherokee Medical Center CurrentSince Mar 1, 2025 Accepting new patients
Cherokee Medical Center Family Medicine CurrentSince Mar 1, 2025 Accepting new patients
Anmed Health Family Medicine Current Accepting new patients
Afc Urgent Care and Family Care of WNC, PLLC CurrentSince May 29, 2020 Accepting new patients
Onespotmd Primary and Urgent Care PLLC Family Medicine CurrentSince Sep 1, 2020 Accepting new patients
Spartanburg Medical Center Family Medicine CurrentSince Mar 1, 2025 Accepting new patients
Anmed Health Family Medicine CurrentSince Apr 4, 2022 Accepting new patients
Anmed Health Family Medicine CurrentSince Apr 4, 2022 Accepting new patients
Spartanburg Medical Center CurrentSince Mar 1, 2025 Accepting new patients
Kimball Medical Center, Inc Past Accepting new patients
Union Urgent Care LLC Family Medicine Past Accepting new patients
Tri-Medical LLC Family Medicine Past Accepting new patients
Spartanburg Medical Center Past Accepting new patients
Carolinas Physicians Network Inc Family Medicine Past Accepting new patients
Carolinas Physicians Network Inc Family Medicine Past Accepting new patients
Carolinas Physicians Network Inc Family Medicine Past Accepting new patients
Carolinas Physicians Network Inc Family Medicine Past Accepting new patients
DRX High Point, PLLC PastSince Jul 24, 2012 Accepting new patients
KMC Eeg Department Group Past Accepting new patients
Carolinas Physicians Network Inc Family Medicine Past Accepting new patients

Locations

10102 Johnston Rd
Charlotte, NC 28210
Phone (704) 247-6578

2114 Freeman Park Dr
Ste 105
Charlotte, NC 28273
Phone (704) 731-8656

1908 E Franklin Blvd
Ste 100
Gastonia, NC 28054
Phone (704) 271-1215

600 N Fant St
Anderson, SC 29621
Phone (864) 512-1787

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

885 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

895 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

840 W Floyd Baker Blvd
Gaffney, SC 29341
Phone (864) 489-3300

101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554

1200 E Main St
Ste 12
Spartanburg, SC 29307
Phone (864) 560-9260

2660 Reidville Rd
Unit 1
Spartanburg, SC 29301
Phone (864) 560-9696

2995 Reidville Rd
Ste 100
Spartanburg, SC 29301
Phone 8645873000 ext. 86458

511 Cross Anchor Rd
Woodruff, SC 29388
Phone (864) 278-6031

1025 Peerless Xing NW
Cleveland, TN 37312
Phone 4234765990 ext. 104

Interoperability endpoints

  • Direct secure messaging: slijoi51240@direct.anmedhealth.net

Organizations & group practices 26

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 26

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1780679118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 N MAIN ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294837326",
            "telephone_number": "843-212-8070",
            "fax_number": "843-212-8071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4278 Ladson Rd",
            "address_purpose": "LOCATION",
            "city": "Ladson",
            "state": "SC",
            "postal_code": "294565452",
            "country_code": "US",
            "telephone_number": "843-203-2240",
            "fax_number": "843-203-2241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIJOI",
        "first_name": "SILVESTRO",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2007-00071",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102201388",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2007-00071",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "1545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015450",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAL LICENSE",
            "identifier": "1545",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905797",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010069777",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.