LAKE MURRAY OBGYN
NPI 1003974171
Obstetrics & Gynecology - Gynecology in Lexington, SC
About Lake Murray Obgyn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE MURRAY OBGYN (NPI 1003974171) is a healthcare organization registered as a gynecology in Lexington, South Carolina and active in the NPI registry since December 2006. The organization lists Stacy L Smithson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lake Murray Obgyn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lake Murray Obgyn, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lake Murray Obgyn's NPI number?
The NPI number for Lake Murray Obgyn is 1003974171. It was assigned to this organization in the NPPES registry on December 4, 2006.
Where is Lake Murray Obgyn located?
Lake Murray Obgyn is located at 1404 W Main St Ste 1, Lexington, SC 29072. The listed phone number is (803) 996-5550.
What is Lake Murray Obgyn's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.
Is Lake Murray Obgyn enrolled in Medicare?
Yes. Lake Murray Obgyn is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lake Murray Obgyn?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Lake Murray Obgyn. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lake Murray Obgyn was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lake Murray Obgyn · NPI 1003974171
Gynecology organization in Lexington, South Carolina. Organization record, active in the CMS NPPES registry since December 4, 2006.
## Identity
- **NPI:** 1003974171 (Entity type: Organization)
- **Enumerated:** December 4, 2006
- **Primary specialty:** Obstetrics & Gynecology - Gynecology · taxonomy 207VG0400X
- **Organization subpart:** No
- **Authorized official:** Stacy Smithson, OWNER
## Practice location
- **Address:** 1404 W MAIN ST STE 1, Lexington, SC 29072-2332
- **Phone:** (803) 996-5550
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Obstetrics/Gynecology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1003974171) · Data from the CMS NPPES public registry.