Individual provider Active NPI

Lillian Grace Baugh, ACNP

  • Acute Care Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1962404772
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1544 Issued in SC
Practice address
300 Palmetto Health Pkwy Ste 400
Columbia, SC 29212
Phone
(803) 434-3800
NPI assigned
Aug 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN1544 SC
Acute Care Nurse Practitioner 363LA2100X 1544 SC Primary

Addresses

Primary practice location

300 Palmetto Health Pkwy Ste 400
Columbia, SC 29212

Mailing address

PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7320

Other practice location 1

8 Richland Medical Park Dr Ste 100
Columbia, SC 29203-8006
Phone (803) 434-3800

Other identifiers 1

IdentifierTypeStateIssuer
NP0654MedicaidSC

Other names 1

  • Lillian Grace Kludo Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gbaugh289149@direct.ghs.myhfn.org Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060421000065 SC Practitioner - Nurse Practitioner 5597775486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

8 Richland Medical Park Dr
Suite 100
Columbia, SC 29203-8006
Phone (803) 434-3800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1544SCMDPsychologist
APN1544SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands CurrentSince Jul 1, 2020 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Jul 1, 2020 Accepting new patients
Prisma Health Medical Group-Midlands Nurse Practitioner Past Accepting new patients

Locations

105 Ellett Rd
Ste 401
Chapin, SC 29036
Phone (803) 907-8790

8 Richland Medical Park Dr
Ste 200
Columbia, SC 29203

8 Richland Medical Park Dr
Ste 300
Columbia, SC 29203
Phone (803) 254-5038

3555 Harden Street Ext
Ste 300
Columbia, SC 29203
Phone (803) 434-6411

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

8 Richland Medical Park Dr
Columbia, SC 29203
Phone (803) 254-5038

8 Richland Medical Park Dr
Ste 100
Columbia, SC 29203

300 Palmetto Health Pkwy
Ste 400
Columbia, SC 29212

5336 Sunset Blvd
Ste A
Lexington, SC 29072
Phone (803) 567-8900

Interoperability endpoints

  • Direct secure messaging: gbaugh289149@direct.ghs.myhfn.org

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.

Hospital & facility affiliations 8

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1962404772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743904",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743904",
            "telephone_number": "803-296-7320",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PALMETTO HEALTH PKWY STE 400",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29212",
            "telephone_number": "803-434-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Richland Medical Park Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292038006",
            "country_code": "US",
            "telephone_number": "803-434-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUGH",
        "first_name": "LILLIAN",
        "middle_name": "GRACE",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "APN1544",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "1544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0654",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gbaugh289149@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "gbaugh289149@direct.ghs.myhfn.org",
            "address_1": "300 Palmetto Health Pkwy Ste 400",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LILLIAN",
            "last_name": "KLUDO",
            "middle_name": "GRACE",
            "credential": "ACNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.