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SOUTHERNMED PEDIATRICS HILLCREST
NPI 1114196557
Pediatrics in Lexington, SC

Active since February 28, 2008CLIA Certified · 6 labs
424 OLD CHEROKEE RD, LEXINGTON, SC 29072(803) 520-9380(803) 520-9380 Get Directions Write a Review

NPPES record last updated: October 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2019, Jun 16, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Southernmed Pediatrics Hillcrest NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERNMED PEDIATRICS HILLCREST (NPI 1114196557) is a healthcare organization registered as a pediatrics in Lexington, South Carolina and active in the NPI registry since February 2008. The organization holds 6 active CLIA laboratory certificates, maintains 6 additional practice locations, and lists R. Kyle Guyton, Physician, as its authorized official.

NPPES Registry Identity

NPI1114196557
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSOUTHERN MEDICAL MANAGEMENT, LLC
Location Address424 OLD CHEROKEE RDLexington, SC 29072-6972
Mailing Address2214 Old Cherokee RdLexington, SC 29072-9725 · (803) 520-9380 · Fax (803) 520-5801
Phone(803) 520-9380
Fax(803) 520-9380
Organization SubpartNo
Authorized OfficialR. Kyle GuytonPhysician · (803) 520-5800
Enumeration DateFebruary 28, 2008
Last NPPES UpdateOctober 4, 20194 updates tracked since enumeration
✔ NPI 1114196557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
424 OLD CHEROKEE RD, Lexington, SC 29072
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Other Names 7

Doing Business AsSouthernmed Pediatrics Hillcrest
Doing Business AsSouthernmed Counseling
Doing Business AsSouthernmed Pediatrics Batesburg Leesville
Doing Business AsSouthernmed Pediatrics Fort Mill
Doing Business AsSouthernmed Pediatrics Lake Murray
Doing Business AsSouthernmed Pediatrics Northeast Columbia
Doing Business AsSouthernmed Pediatrics South Lake

Secondary Practice Locations 6

Location 11223 S Lake Dr Ste GLexington, SC 29073-6889 · Phone (803) 520-9370
Location 2141 E Church St Ste CBatesburg Leesville, SC 29070-7066 · Phone (803) 520-9261
Location 3237 Longtown RdColumbia, SC 29229-8550 · Phone (803) 404-5638
Location 41995 Saint Matthews RdOrangeburg, SC 29118-2405 · Phone (803) 928-5525
Location 5216 E Main StLexington, SC 29072-3546 · Phone (803) 520-8295
Location 6342 Patricia Ln Ste 105Fort Mill, SC 29708-6608 · Phone (803) 431-7490 · Fax (803) 431-7491

Other Identifiers 1

MedicaidGP4862SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next, Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA 7

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 42D2107266

Southernmed Pediatrics-Batesburg · Leesville, SC
Active · expires Jun 16, 2027
CLIA Number42D2107266
Laboratory TypePhysician Office
Certificate Effective DateJune 17, 2025
Certificate Expiration DateJune 16, 2027
Laboratory DirectorDr. James Pruitt
Laboratory Phone(803) 520-9261
Laboratory LocationSouthernmed Pediatrics-Batesburg141 E Church Street, Suite C, Leesville, SC 29070
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 42D2070211

Southernmed Pediatrics · Lexington, SC
Active · expires Sep 30, 2026
CLIA Number42D2070211
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorDr. Joseph Delaney
Laboratory Phone(803) 520-9380
Laboratory LocationSouthernmed Pediatrics1633 S Lake Drive, Lexington, SC 29073
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 42D0251343

Sweetgrass Pediatrics- Summerville (midland Parkway) Dba Southernmed Pediatrics-Summerville · Summerville, SC
Active · expires Sep 23, 2027
CLIA Number42D0251343
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorDr. Richard K. Guyton
Laboratory Phone(803) 520-9380
Laboratory LocationSweetgrass Pediatrics- Summerville (midland Parkway) Dba Southernmed Pediatrics-Summerville312 Midland Parkway, Summerville, SC 29485
CLIA data matches this NPI record on: Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 42D2199460

Southernmed Pediatrics - Clemson · Clemson, SC
Active · expires Aug 11, 2027
CLIA Number42D2199460
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2025
Certificate Expiration DateAugust 11, 2027
Laboratory DirectorDr. James L. Pruitt
Laboratory Phone(803) 520-9380
Laboratory LocationSouthernmed Pediatrics - Clemson133 Thomas Green Suite 202, Clemson, SC 29631
CLIA data matches this NPI record on: Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 42D0253662

Southernmed Pediatrics - Aiken · Aiken, SC
Active · expires Oct 23, 2026
CLIA Number42D0253662
Laboratory TypePhysician Office
Certificate Effective DateOctober 24, 2024
Certificate Expiration DateOctober 23, 2026
Laboratory DirectorDr. James L. Pruitt
Laboratory Phone(803) 520-9380
Laboratory LocationSouthernmed Pediatrics - Aiken206 Center South Blvd, Aiken, SC 29803
CLIA data matches this NPI record on: Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 42D0673254

Sweetgrass Pediatrics- Downtown Charleston Dba Southernmed Pediatrics - Charleston · Charleston, SC
Active · expires Oct 22, 2026
CLIA Number42D0673254
Laboratory TypePhysician Office
Certificate Effective DateOctober 23, 2024
Certificate Expiration DateOctober 22, 2026
Laboratory DirectorDr. James Pruitt
Laboratory Phone(803) 520-9380
Laboratory LocationSweetgrass Pediatrics- Downtown Charleston Dba Southernmed Pediatrics - Charleston198 Rutledge Avenue Suite 1, Charleston, SC 29403
CLIA data matches this NPI record on: Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTEN CHICOLA NEIL M.D.
Pediatrics
424 OLD CHEROKEE RD
LEXINGTON, SC 29072
Lexington County (803) 520-5800
RICHARD KYLE GUYTON M.D.
Pediatrics
424 OLD CHEROKEE RD
LEXINGTON, SC 29072
Lexington County (803) 520-5800
ADAM HOTZ D.O.
Pediatrics
424 OLD CHEROKEE RD
LEXINGTON, SC 29072
Lexington County (803) 520-5800
ASHLEY CARTER MD
Pediatrics
424 OLD CHEROKEE RD
LEXINGTON, SC 29072
Lexington County (803) 520-5800
DR. JOSEPH ALLEN DELANEY M.D.
Pediatrics
424 OLD CHEROKEE RD
LEXINGTON, SC 29072
Lexington County (803) 520-5800
ALLYSON TAYLOR VON KANNEL CPNP-PC
Nurse Practitioner (Pediatrics)
424 OLD CHEROKEE RD
LEXINGTON, SC 29072
Lexington County (800) 352-0580

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 Southern Medical Management, LLC's NPI number?

The NPI number for Southern Medical Management, LLC is 1114196557. It was assigned to this organization in the NPPES registry on February 28, 2008. The provider is doing business as Southernmed Pediatrics Hillcrest, SouthernMED Counseling, SouthernMED Pediatrics Batesburg Leesville and SouthernMED Pediatrics Fort Mill. Additional names are listed in the Other Names section above.

Where is Southern Medical Management, LLC located?

Southern Medical Management, LLC is located at 424 Old Cherokee Rd, Lexington, SC 29072. The listed phone number is (803) 520-9380.

What is Southern Medical Management, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Southern Medical Management, LLC hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Southern Medical Management, LLC accept?

Health plans from First Choice Next and Molina Healthcare list Southern Medical Management, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southern Medical Management, LLC was last updated on October 4, 2019. 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.