Organization Active NPI

Leads Way Medical Center

  • Primary Care Clinic/Center
  • Ridgeland, SC
National Provider Identifier
1962119487
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LEADS WAY MEDICAL CENTER
Doing business as
Leads Way Medical Center
Practice address
7766 W Main Street
Ridgeland, SC 29936
Phone
(843) 441-9415
Fax
(843) 305-6107
NPI assigned
Nov 3, 2022
Last updated
Nov 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Mrs. Antreana Singleton-Grant
Title
Owner
Phone
(843) 476-3260

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU
Medically Fragile Infants and Children Day Care 261QM3000X NU
Primary Care Clinic/Center 261QP2300X NU Primary
Clinical Medical Laboratory 291U00000X NU
Primary Care Nurse Practitioner 363LP2300X NU

Addresses

Primary practice location

7766 W Main Street
Ridgeland, SC 29936

Mailing address

186 State Road S-27-272
Ridgeland, SC 29936
Phone (843) 476-3260

Other names 1

  • Leads Way Medical Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1962119487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 STATE ROAD S-27-272",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "29936",
            "telephone_number": "843-476-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7766 W MAIN STREET",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "29936",
            "telephone_number": "843-441-9415",
            "fax_number": "843-305-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADS WAY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "SINGLETON-GRANT",
        "authorized_official_first_name": "ANTREANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-476-3260",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leads Way Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgeland, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.