Individual provider Active NPI

Lauren Murphy Ott, PA-C

  • Physician Assistant
  • Branchville, SC
National Provider Identifier
1780969329
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
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

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1731OtherSCSC 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Edisto Regional Health Services Inc CurrentSince Jan 14, 2019 Accepting new patients
Edisto Regional Health Services Inc CurrentSince Jan 14, 2019 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.

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

Verify at the official NPI Registry.