Individual provider Active NPI

Shepherd Lee Drayton III, MD

  • Family Medicine Physician
  • Blythewood, SC
National Provider Identifier
1992496137
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
904561 Issued in SC
Practice address
230 Redhawk Way Ste 200
Blythewood, SC 29016-9286
Phone
(803) 419-4949
Fax
(803) 419-6445
NPI assigned
May 18, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 904561 SC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

230 Redhawk Way Ste 200
Blythewood, SC 29016-9286

Mailing address

PO Box 6069
West Columbia, SC 29171-6069
Phone (803) 419-4949

Other practice location 1

145 Sunset Ct Ste 100
West Columbia, SC 29169-2429
Phone (803) 739-3491

Other practice location 2

154 Saluda Pointe Dr
Lexington, SC 29072-7295
Phone (803) 785-3590

Other identifiers 1

IdentifierTypeStateIssuer
904561MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sdrayton164754@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
I20230725000611 SC Order and Referring Only - Family PracticePractitioner - Family Practice 8628439510

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

110 E Medical LN
Suite 210a
West Columbia, SC 29169-4817

PO Box
Suite 6069
West Columbia, SC 29171

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington County Health Services District Inc Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sdrayton164754@direct.lexmed.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1992496137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069",
            "telephone_number": "803-419-4949",
            "fax_number": "803-419-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 REDHAWK WAY STE 200",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290169286",
            "telephone_number": "803-419-4949",
            "fax_number": "803-419-6445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Sunset Ct Ste 100",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291692429",
            "country_code": "US",
            "telephone_number": "803-739-3491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "154 Saluda Pointe Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290727295",
            "country_code": "US",
            "telephone_number": "803-785-3590",
            "fax_number": "803-785-3595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAYTON",
        "first_name": "SHEPHERD",
        "middle_name": "LEE",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-18",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "904561",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "904561",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdrayton164754@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "145 Sunset Ct Ste 100",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291692429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Blythewood, SC

Sources for this page

Verify at the official NPI Registry.