NPIMap

Individual provider Active NPI

Kenya A Cooper, MD

  • Family Medicine Physician
  • Gilbert, SC
National Provider Identifier
1891108775
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
37053 Issued in SC
Practice address
4080 Augusta Hwy
Gilbert, SC 29054-8893
Phone
(803) 892-1800
Fax
(803) 892-1812
NPI assigned
Jun 9, 2014
Last updated
Oct 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 37053 SC Primary

Addresses

Primary practice location

4080 Augusta Hwy
Gilbert, SC 29054-8893

Mailing address

PO Box 6069
West Columbia, SC 29171-6069

Other names 1

  • Kenya Goins Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kcooper62829@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150721000993 SC Practitioner - Family Practice 5496068322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Boston University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

4080 Augusta Hwy
Suite 100
Gilbert, SC 29054-8893
Phone (803) 892-1800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington County Health Services District Inc Current Accepting new patients
Lexington Health Inc Family Medicine CurrentSince Feb 1, 2021 Accepting new patients
Lexington Health Inc Family Medicine Current Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients
Lexington County Health Serv Family Medicine Past Accepting new patients
Self Medical Group PastSince May 7, 2024 Accepting new patients

Locations

7037 Saint Andrews Rd
Columbia, SC 29212
Phone (803) 732-0963

76 Polo Rd
Columbia, SC 29223
Phone (803) 699-7255

4080 Augusta Hwy
Gilbert, SC 29054
Phone (803) 892-1800

4080 Augusta Hwy
Ste 100
Gilbert, SC 29054

1846 Dutch Fork Rd
Irmo, SC 29063
Phone (803) 314-9640

122 Powell Dr
Lexington, SC 29072
Phone (803) 957-8400

2006 Augusta Hwy
Lexington, SC 29072
Phone (803) 358-6400

5535 Platt Springs Rd
Lexington, SC 29073
Phone (803) 314-9510

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

3314 Platt Springs Rd
West Columbia, SC 29170
Phone (803) 791-3494

Interoperability endpoints

  • Direct secure messaging: kcooper62829@direct.lexmed.com

Organizations & group practices 7

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.

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": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1891108775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 AUGUSTA HWY",
            "city": "GILBERT",
            "state": "SC",
            "postal_code": "290548893",
            "telephone_number": "803-892-1800",
            "fax_number": "803-892-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "KENYA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "37053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kcooper62829@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "4080 Augusta Hwy",
            "city": "Gilbert",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290548893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KENYA",
            "last_name": "GOINS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gilbert, SC

Sources for this page

Verify at the official NPI Registry.