Individual provider Active NPI

Laurie Ray Harrell, MD

  • Radiation Oncology Physician
  • Sumter, SC
National Provider Identifier
1881863389
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
15473 Issued in SC
Practice address
130 N Washington St
Sumter, SC 29150-4920
Phone
(803) 774-8888
Fax
(803) 778-6376
NPI assigned
Feb 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Therapeutic Radiology Physician 2085R0203X 15473 SC
Radiation Oncology Physician 2085R0001X 15473 SC Primary

Addresses

Primary practice location

130 N Washington St
Sumter, SC 29150-4920

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

2085 Henry Tecklenburg Dr
Charleston, SC 29414-7710
Phone (843) 724-2140

Other practice location 2

316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 724-2140

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidSC

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
I20041112000460 SC Practitioner - Radiation Oncology 8729042593 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Medical University of South Carolina College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Carolina Multispecialty Associates LLCGroup PAC ID 9931105046, 48 clinicians
Savannah Multispecialty Associates LLCGroup PAC ID 3678836558, 129 clinicians

Practice addresses (Care Compare)

120 Medical Park Dr
Walterboro, SC 29488-5719
Phone (843) 549-1421

130 N Washington St
Sumter, SC 29150-4920
Phone (803) 774-8888

9330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone (843) 847-4946

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP821KYMDPediatrics Physician
15473SCMDTherapeutic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Radiation Therapy Center Radiation Oncology CurrentSince Apr 16, 2022 Accepting new patients
Savannah Multispecialty Associates, LLC CurrentSince Jan 17, 2023 Accepting new patients
Coastal Carolina Multispecialty Associates, LLC Radiation Oncology CurrentSince Apr 11, 2022 Accepting new patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
Prisma Health University Medical Group CurrentSince Feb 4, 2022 Accepting new patients
Prisma Health University Medical Group CurrentSince Feb 4, 2022 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Mar 1, 2019 Accepting new patients
Coastal Carolina Multispecialty Assocs, LLC Past Accepting new patients

Locations

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345

4033 Highway 17
Unit 106
Murrells Inlt, SC 29576
Phone (843) 545-5600

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

130 N Washington St
Sumter, SC 29150
Phone (803) 774-8888

120 Medical Park Dr
Walterboro, SC 29488
Phone (843) 549-1421

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

9568 Kings Charter Dr
Ashland, VA 23005

Interoperability endpoints

  • Direct secure messaging: lharrell557979@direct.ghs.myhfn.org

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1881863389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N WASHINGTON ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504920",
            "telephone_number": "803-774-8888",
            "fax_number": "803-778-6376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2085 Henry Tecklenburg Dr",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294147710",
            "country_code": "US",
            "telephone_number": "843-724-2140",
            "fax_number": "843-724-2448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "316 Calhoun St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294011113",
            "country_code": "US",
            "telephone_number": "843-724-2140",
            "fax_number": "843-724-2448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "LAURIE",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "SC",
            "license": "15473",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "SC",
            "license": "15473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.