Rebecca Lucas Clemenz, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

12331 Issued in SC

Practice address

7039 Saint Andrews Rd
Columbia, SC 29212-1177

Phone

(803) 749-0097

NPI assigned

Aug 1, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1992711741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7039 SAINT ANDREWS RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292121177",
            "telephone_number": "803-749-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7039 SAINT ANDREWS RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292121177",
            "telephone_number": "803-749-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENZ",
        "first_name": "REBECCA",
        "middle_name": "LUCAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "12331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC LICENSE",
            "identifier": "12331",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clear Dot Charter School
• Clear Vision Counseling, LLC.
• Karen Clement-Williams, OTR/L
• Kristi Clements, MA, LPC
• Sarah Elizabeth Clements
• Autumn Hope Clemins, PHARMD
• Anton M Clemmons, M.D.
• Ellen Clemmons
• Jacqueline Rice Clemmons
• Monica Lynnette Clemmons I, COTA/L

• Dermatology Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Dermatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.