Individual provider Active NPI

Lee Christopher Ross, FNP-C

  • Family Nurse Practitioner
  • Bamberg, SC
National Provider Identifier
1982116331
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21001 Issued in SC
Practice address
526 North St
Bamberg, SC 29003-1319
Phone
(803) 245-2433
NPI assigned
Oct 25, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21001 SC Primary

Addresses

Primary practice location

526 North St
Bamberg, SC 29003-1319

Mailing address

3339 Crowell LN
Mount Pleasant, SC 29466-7618
Phone (843) 813-2118

Other identifiers 2

IdentifierTypeStateIssuer
NP5207MedicaidSC
SCC955OtherSCMEDICARE

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
I20180730001680 SC Practitioner - Nurse Practitioner 8123376738 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

111 John Lawson Ave
Santee, SC 29142-8654
Phone (803) 395-2070

506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21001SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edisto Regional Health Services Inc. Current Accepting new patients
Edisto Regional Health Services Inc. CurrentSince Dec 2, 2021 Accepting new patients
Musc Community Physicians CurrentSince Mar 1, 2023 Accepting new patients
Edisto Regional Health Services Inc CurrentSince Dec 2, 2021 Accepting new patients
Seaside Family Medicine, LLC Family CurrentSince Mar 14, 2019 Accepting new patients
Musc Community Physicians CurrentSince Mar 1, 2023 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients
Low Country Health Care System, Inc PastSince May 5, 2018 Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

498 North St
Bamberg, SC 29003
Phone (803) 245-5144

187 Bunch Ford Rd
Holly Hill, SC 29059
Phone (803) 395-3068

4631 Savannah Hwy
North, SC 29112
Phone (803) 247-2428

111 John Lawson Ave
Santee, SC 29142
Phone (781) 280-1577

1341 College Park Rd
Ste A
Summerville, SC 29486
Phone (843) 400-0028

Interoperability endpoints

  • Direct secure messaging: lross442409@direct.musc.edu

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1982116331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3339 CROWELL LN",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667618",
            "telephone_number": "843-813-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 NORTH ST",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290031319",
            "telephone_number": "803-245-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "LEE",
        "middle_name": "CHRISTOPHER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-25",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP5207",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "SCC955",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bamberg, SC

Sources for this page

Verify at the official NPI Registry.