Individual provider Active NPI

Lindian J Swaim Jr., MD

  • Obstetrics & Gynecology Physician
  • Supply, NC
National Provider Identifier
1902890874
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
18728 Issued in NC
Practice address
14 Doctors Cir
Suite 5
Supply, NC 28462-4097
Phone
(910) 754-9166
Fax
(910) 754-2972
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 18728 NC Primary

Addresses

Primary practice location

14 Doctors Cir
Suite 5
Supply, NC 28462-4097

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-7840

Other identifiers 1

IdentifierTypeStateIssuer
8981117MedicaidNC

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
I20140108001500 SC Practitioner - Obstetrics/Gynecology 9032182506 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18728NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg South Carolina PC Obstetrics & Gynecology CurrentSince Oct 13, 2013 Accepting new patients
North Carolina Physician Network, Inc. Obstetrics & Gynecology Past Accepting new patients
Private Diagnostic Clinic, PLLC Obstetrics & Gynecology Past Accepting new patients
Blue Ridge OB/GYN Associates PLLC PastSince Aug 13, 2004 Accepting new patients

Locations

10 Centimeters Dr
Mauldin, SC 29662
Phone (800) 867-2289

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

501 Robertson Blvd
Walterboro, SC 29488
Phone (843) 549-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16649/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1902890874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-384-7840",
            "fax_number": "704-384-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 DOCTORS CIR",
            "address_2": "SUITE 5",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624097",
            "telephone_number": "910-754-9166",
            "fax_number": "910-754-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAIM",
        "first_name": "LINDIAN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "18728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8981117",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Supply, NC

Sources for this page

Verify at the official NPI Registry.