Active NPI
Lesslie Pekarek, MD
- Family Medicine Physician
- Clemson, SC
National Provider Identifier
1912102013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- LL29772
- Practice address
- 735 McMillan Rd.
Clemson, SC 29634-4054 - Phone
- (864) 656-2233
- Fax
- (864) 656-0760
- NPI assigned
- Jun 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | LL29772 | SC | Primary |
Addresses
Primary practice location
735 McMillan Rd.
Clemson, SC 29634-4054
Mailing address
Box 344054
Clemson, SC 29634-0001
Phone (864) 656-2233
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801028543 | Other | SC | BAPTIST EASLEY NPI 1801028543 EFFECTIVE 8-2-2010 |
| 297725 | Medicaid | SC |
Other names 1
- Lesslie Graves
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.clemson.edu/campus-life/student-health/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL29772 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redfern Health Center | Past | Accepting new patients | |
| Clemson University-Redfern Health Center | Past | Accepting new patients | |
| Baptist Easley Hospital | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Baptist Easley Hospital Based Providers
- Orthopaedic Surgery Physician
- Easley, SC
- NPI 1134350358
-
- Student Health Clinic/Center
- Clemson, SC
- NPI 1053437301
-
- Clinic/Center
- Clemson, SC
- NPI 1003350281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1912102013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 344054",
"city": "CLEMSON",
"state": "SC",
"postal_code": "296340001",
"telephone_number": "864-656-2233",
"fax_number": "864-656-0760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 MCMILLAN RD.",
"city": "CLEMSON",
"state": "SC",
"postal_code": "296344054",
"telephone_number": "864-656-2233",
"fax_number": "864-656-0760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEKAREK",
"first_name": "LESSLIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-19",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "LL29772",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BAPTIST EASLEY NPI 1801028543 EFFECTIVE 8-2-2010",
"identifier": "1801028543",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "297725",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.clemson.edu/campus-life/student-health/",
"affiliation": "N",
"endpointDescription": "website",
"address_1": "735 McMillan Rd.",
"city": "Clemson",
"state": "SC",
"country_code": "US",
"postal_code": "296344054",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LESSLIE",
"last_name": "GRAVES",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clemson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.