Individual provider Active NPI

Wynn Traylor Harvey II, MD

  • Family Medicine Physician
  • Columbia, SC
National Provider Identifier
1982198438
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
52783 Issued in SC
Practice address
109 Barton Creek CT
Columbia, SC 29229-8027
Phone
(803) 256-2286
Fax
(803) 419-8430
NPI assigned
Jun 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 52783 SC Primary

Addresses

Primary practice location

109 Barton Creek CT
Columbia, SC 29229-8027

Mailing address

Family Medicine Center
3209 Colonial Drive
Columbia, SC 29203
Phone (803) 434-6113

Other practice location 1

Family Medicine Center
3209 Colonial Drive
Columbia, SC 29203
Phone (803) 434-6113

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wharvey105803@direct.lexmed.com

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
I20200512002012 SC Practitioner - Family Practice 7810249745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

109 Barton Creek CT
Columbia, SC 29229-8027
Phone (803) 791-2683

Hospital & facility affiliations

  • Amedisys Home Health of Camden Home health agency, Camden, SC, CCN 427036
  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Lexington Health Inc Family Medicine Current Accepting new patients
Lexington Health Inc Family Medicine CurrentSince Feb 1, 2021 Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients

Locations

109 Barton Creek Ct
Ste A
Columbia, SC 29229
Phone (803) 791-2683

109 Barton Creek Ct
Columbia, SC 29229
Phone (803) 256-2286

338 E Columbia Ave
Leesville, SC 29070
Phone (803) 332-4300

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

935 W 2nd St
Swansea, SC 29160
Phone (803) 568-2000

2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480

Organizations & group practices 5

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 2

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": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1982198438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FAMILY MEDICINE CENTER",
            "address_2": "3209 COLONIAL DRIVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-434-6113",
            "fax_number": "803-434-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BARTON CREEK CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298027",
            "telephone_number": "803-256-2286",
            "fax_number": "803-419-8430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Family Medicine Center",
            "address_2": "3209 Colonial Drive",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "29203",
            "country_code": "US",
            "telephone_number": "803-434-6113",
            "fax_number": "803-434-8478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "WYNN",
        "middle_name": "TRAYLOR",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-19",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "52783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wharvey105803@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "109 Barton Creek Ct",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292298027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.