NPIMap

Individual provider Active NPI

Paul A. Lingoes, M.D.

  • Family Medicine Physician
  • Lancaster, SC
National Provider Identifier
1891955969
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2020-03135 Issued in NC
Practice address
1201 Colonial Commons
Agape Physicians Care
Lancaster, SC 29720
Phone
(803) 207-8200
Fax
(803) 207-8130
NPI assigned
Jun 12, 2008
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2020-03135 NC Primary
Family Medicine Physician 207Q00000X TL34607 SC

Addresses

Primary practice location

1201 Colonial Commons
Agape Physicians Care
Lancaster, SC 29720

Mailing address

1624 Main Street
Agape Senior Primary Care, Inc., Dba Agape Physicians C
Columbia, SC 29201
Phone (803) 454-0365

Other practice location 1

380 Knollwood St Ste 505
Winston Salem, NC 27103-1884
Phone (657) 237-2450

Other identifiers 7

IdentifierTypeStateIssuer
428960OtherSCRHC MEDICARE (LANCASTER)
CE1315OtherSCMEDICARE RAILROAD GROUP#
GP0641MedicaidSC
423876OtherSCRHC MEDICARE (INDIANLAND)
RHC211OtherSCRHC MEDICAID (INDIANLAND)
RHC127OtherSCRHC MEDICAID (LANCASTER)
346076OtherSCINDIVIDUAL MEDICAID PROVIDER

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
I20120822000797 SC Practitioner - Family Practice 0749476802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Providence House Calls LLCGroup PAC ID 1759528250, 20 clinicians

Practice addresses (Care Compare)

500 Lakeshore Pkwy
Rock Hill, SC 29730-4273
Phone (803) 818-6955

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TL34607SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Care LLC Family Medicine PastSince Sep 6, 2011 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ms_plingoes@landmarkhealth-direct.org

Organizations & group practices 2

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 7

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": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1891955969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 MAIN STREET",
            "address_2": "AGAPE SENIOR PRIMARY CARE, INC., DBA AGAPE PHYSICIANS C",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29201",
            "telephone_number": "803-454-0365",
            "fax_number": "803-404-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 COLONIAL COMMONS",
            "address_2": "AGAPE PHYSICIANS CARE",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "29720",
            "telephone_number": "803-207-8200",
            "fax_number": "803-207-8130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 Knollwood St Ste 505",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271031884",
            "country_code": "US",
            "telephone_number": "657-237-2450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINGOES",
        "first_name": "PAUL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2020-03135",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "TL34607",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHC MEDICARE (LANCASTER)",
            "identifier": "428960",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP#",
            "identifier": "CE1315",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0641",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHC MEDICARE (INDIANLAND)",
            "identifier": "423876",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHC MEDICAID (INDIANLAND)",
            "identifier": "RHC211",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHC MEDICAID (LANCASTER)",
            "identifier": "RHC127",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICAID PROVIDER",
            "identifier": "346076",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

Verify at the official NPI Registry.