Active NPI
Lauren Murphy Ott, PA-C
- Physician Assistant
- Branchville, SC
National Provider Identifier
1780969329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 215 Dorange Rd
Branchville, SC 29432-2241 - Phone
- (803) 395-3650
- Fax
- (803) 274-8817
- NPI assigned
- Oct 14, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
215 Dorange Rd
Branchville, SC 29432-2241
Mailing address
1773 Village Park Dr
Orangeburg, SC 29118-2475
Phone (803) 535-3600
Other practice location 1
1773 Village Park Dr
Orangeburg, SC 29118-2475
Phone (803) 535-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1731 | Other | SC | SC MEDICAL LICENSE |
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130529000552 | SC | Practitioner - Physician Assistant | 8123266384 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edisto Regional Health Services Inc | Current | Accepting new patients | |
| Edisto Regional Health Services Inc | Current | Accepting new patients |
Locations
215 Dorange Rd
Branchville, SC 29432
Phone (803) 274-8400
4631 Savannah Hwy
North, SC 29112
Phone (803) 247-2428
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Orangeburg, SC
- NPI 1831729623
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1922756352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547510400000",
"number": "1780969329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1773 VILLAGE PARK DR",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291182475",
"telephone_number": "803-535-3600",
"fax_number": "803-534-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 DORANGE RD",
"city": "BRANCHVILLE",
"state": "SC",
"postal_code": "294322241",
"telephone_number": "803-395-3650",
"fax_number": "803-274-8817"
}
],
"practiceLocations": [
{
"address_1": "1773 Village Park Dr",
"address_purpose": "LOCATION",
"city": "Orangeburg",
"state": "SC",
"postal_code": "291182475",
"country_code": "US",
"telephone_number": "803-535-3600",
"fax_number": "803-534-6300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OTT",
"first_name": "LAUREN",
"middle_name": "MURPHY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-14",
"last_updated": "2019-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC MEDICAL LICENSE",
"identifier": "1731",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Branchville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.