Individual provider Active NPI

Stacey Ana Gallaway, MD

  • Occupational Medicine Physician
  • West Columbia, SC
National Provider Identifier
1902021793
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
23263 Issued in SC
Practice address
110 E Medical LN
West Columbia, SC 29169-4817
Phone
(803) 791-2199
NPI assigned
Apr 16, 2007
Last updated
May 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 23263 SC Primary

Addresses

Primary practice location

110 E Medical LN
West Columbia, SC 29169-4817

Mailing address

470 Hulon LN
West Columbia, SC 29169-4841
Phone (803) 755-3337

Other practice location 1

3799 12th Street Ext
Cayce, SC 29033-3750
Phone (803) 755-3337 ext. 213

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sgallaway24301@direct.lexmed.com

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241203000093 SC Practitioner - Other (Physician) 3870689995 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23263SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington County Health Services District Inc Current Accepting new patients
Lexington Health Inc CurrentSince Oct 1, 2024 Accepting new patients
Lexington Health Inc Current Accepting new patients
Lexington Health Inc CurrentSince Oct 1, 2024 Accepting new patients
Newsom Eye & Laser Center, Inc. PastSince Aug 1, 2012 Accepting new patients
Primecare of NW FL Past Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: sgallaway24301@direct.lexmed.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1902021793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 HULON LN",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694841",
            "telephone_number": "803-755-3337",
            "fax_number": "803-955-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E MEDICAL LN",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694817",
            "telephone_number": "803-791-2199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3799 12th Street Ext",
            "address_purpose": "LOCATION",
            "city": "Cayce",
            "state": "SC",
            "postal_code": "290333750",
            "country_code": "US",
            "telephone_number": "803-755-3337 x213",
            "fax_number": "803-955-2225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLAWAY",
        "first_name": "STACEY",
        "middle_name": "ANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "SC",
            "license": "23263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgallaway24301@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "3799 12th Street Ext",
            "city": "Cayce",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290333750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.