NPIMap

Individual provider Active NPI

Jerod Lindsey Lunsford, M.D.

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Columbia, SC
National Provider Identifier
1891828133
Registry record updated May 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
29037 Issued in SC
Practice address
114 Gateway Corporate Blvd Ste 450
Columbia, SC 29203-9785
Phone
(803) 865-4950
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 29037 SC Primary

Addresses

Primary practice location

114 Gateway Corporate Blvd Ste 450
Columbia, SC 29203-9785

Mailing address

114 Gateway Corporate Blvd Ste 450
Columbia, SC 29203-9785
Phone (803) 865-4950

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
I20090206000331 SC Practitioner - Emergency Medicine 0547325532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Oklahoma College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

1315 Roberts St
Camden, SC 29020-3737
Phone (803) 432-4311

Hospital & facility affiliations

  • Amedisys Home Health of Camden Home health agency, Camden, SC, CCN 427036
  • Providence Home Health Home health agency, Columbia, SC, CCN 427109
  • Centerwell Home Health Home health agency, Columbia, SC, CCN 427061
  • Musc Health Columbia Medical Center Downtown Hospital, Columbia, SC, CCN 420026
  • Prisma Health Richland Hospital Hospital, Columbia, SC, CCN 420018
  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073
  • Kershawhealth Hospital, Camden, SC, CCN 420048
  • Musc Medical Center Hospital, Charleston, SC, CCN 420004

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1406
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29037SCMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Aug 10, 2023 Accepting new patients
Musc Community Physicians Emergency Medicine Current Accepting new patients
Musc Community Physicians CurrentSince Aug 10, 2023 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311

2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859

120 Gateway Corporate Blvd
Columbia, SC 29203
Phone (803) 256-5320

Interoperability endpoints

  • Direct secure messaging: jlunsford432379@direct.musc.edu

Organizations & group practices 4

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716076800000",
    "number": "1891828133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 GATEWAY CORPORATE BLVD STE 450",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039785",
            "telephone_number": "803-865-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 GATEWAY CORPORATE BLVD STE 450",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039785",
            "telephone_number": "803-865-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNSFORD",
        "first_name": "JEROD",
        "middle_name": "LINDSEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2024-05-19",
        "certification_date": "2024-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "SC",
            "license": "29037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.