DR. LAVON FENDERSON DNP, FNP-BC
NPI 1285040329
Nurse Practitioner - Family in West Columbia, SC

Q: What is Lavon Fenderson's NPI number?

The NPI number for Lavon Fenderson is 1285040329. It was assigned to this individual provider in the NPPES registry on July 9, 2014.

Q: What is Lavon Fenderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lavon Fenderson was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since July 09, 2014PECOS Enrolled

2858 SUNSET BLVD, WEST COLUMBIA, SC 29169(803) 699-9073 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Lavon Fenderson Dnp, Fnp-bc NPPES

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

DR. LAVON FENDERSON DNP, FNP-BC (NPI 1285040329) is an individual family provider in West Columbia, South Carolina, licensed in South Carolina (18897) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1285040329

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameDR. LAVON FENDERSONCredential: DNP, FNP-BC

Location Address2858 SUNSET BLVDWest Columbia, SC 29169-3420

Mailing Address2858 Sunset BlvdWest Columbia, SC 29169-3420

Phone(803) 699-9073

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 9, 2014

Last NPPES UpdateJuly 9, 2025

NPPES CertifiedJuly 1, 2025

✔ NPI 1285040329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SC · 18897

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 18887 (SC)

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 18887 (SC)

2858 SUNSET BLVD, West Columbia, SC 29169

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lavon Fenderson Dnp, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810116969

PECOS Enrollment IDI20250707000974, I20251125002655, I20251217000353, I20251222003376, I20260527003684

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29169 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

HEATHER SHAW FNP-C

Nurse Practitioner (Family)