MRS. TINA RENELL GOETHIE-LYONS APRN, MSN, FNP-BC
NPI 1376915934
Nurse Practitioner - Family in Okatie, SC

Active since October 22, 2015PECOS EnrolledAccepts Medicare Assignment
719 OKATIE HWY, OKATIE, SC 29909(843) 987-7400(843) 986-0566 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 26, 2026, Oct 9, 2024, Mar 10, 2020 (3 updates tracked since 2020).

About Mrs. Tina Renell Goethie-lyons Aprn, Msn, Fnp-bc NPPES

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

MRS. TINA RENELL GOETHIE-LYONS APRN, MSN, FNP-BC (NPI 1376915934) is an individual family provider in Okatie, South Carolina, licensed in South Carolina (APN.19824.RX) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Clinton, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1376915934
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TINA RENELL GOETHIE-LYONSCredential: APRN, MSN, FNP-BC
Location Address719 OKATIE HWYOkatie, SC 29909-3963
Mailing AddressPo Box 357, 721 N. Okatie Hwy, Okatie, Sc 29909Ridgeland, SC 29936-2605 · (843) 987-7400 · Fax (843) 986-0566
Fax(843) 986-0566
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 22, 2015
Last NPPES UpdateJanuary 26, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
✔ NPI 1376915934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SC · APN.19824.RX
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License APN.19824.RX (SC)
719 OKATIE HWY, Okatie, SC 29909

Secondary Practice Location 1

Location 1939 Springdale DrClinton, SC 29325-7266 · Phone (910) 742-9243 · Fax (888) 746-1787

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Tina Renell Goethie-lyons Aprn, Msn, Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547558637
PECOS Enrollment IDI20161005000353, I20250217000956, I20251006001825, I20260209000822
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.

Medicare Billing Reassignments

11

Medicare enrollment records show Tina Goethie-lyons reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
719 N OKATIE HWY
Ridgeland, SC 29936
  • Reassigned Medicare billing, South Carolina enrollment
  • 98 clinicians in this Medicare group
Geriatric Medicine
1516 GRAYS HWY
Ridgeland, SC 29936
  • Reassigned Medicare billing, South Carolina enrollment
  • 14 clinicians in this Medicare group
Geriatric Medicine
411 PINE ST
Sylvania, GA 30467
  • Reassigned Medicare billing, Georgia enrollment
  • 16 clinicians in this Medicare group
Internal Medicine
1401 SAM RITTENBERG BLVD STE 6
Charleston, SC 29407
  • Reassigned Medicare billing, South Carolina enrollment
  • 86 clinicians in this Medicare group
Hospice and Palliative Medicine
136 STONEMARK LN STE 100C
Columbia, SC 29210
  • Reassigned Medicare billing, South Carolina enrollment
  • 56 clinicians in this Medicare group
Family Medicine
939 SPRINGDALE DR
Clinton, SC 29325
  • Reassigned Medicare billing, South Carolina enrollment
  • 29 clinicians in this Medicare group
Clinical
220 N MAIN ST STE 500
Greenville, SC 29601
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Che Behavioral Health Services Of South Carolina PC
  • 33 clinicians in this Medicare group
Psychiatry
11340 LAKEFIELD DR STE 200
Johns Creek, GA 30097
  • Reassigned Medicare billing, Georgia enrollment
  • 137 clinicians in this Medicare group
Primary Care
4901 VINELAND RD STE 350
Orlando, FL 32811
  • Reassigned Medicare billing, Georgia, South Carolina, Tennessee and Virginia enrollments
  • 2 clinicians in this Medicare group
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, South Carolina enrollment
  • 106 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
26 services24 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
22 services19 patients
Urine microalbumin (protein) level 82043
The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.
13 services13 patients
Creatinine level to test for kidney function or muscle injury 82570
A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29909 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$39.94 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

Internal Medicine
719 OKATIE HWY
OKATIE, SC 29909
Nurse Practitioner (Family)
719 OKATIE HWY
OKATIE, SC 29909
Dietitian, Registered
719 OKATIE HWY
OKATIE, SC 29909
Nurse Practitioner (Family)
719 OKATIE HWY
OKATIE, SC 29909
Dentist
719 OKATIE HWY
OKATIE, SC 29909
Obstetrics & Gynecology
719 OKATIE HWY
OKATIE, SC 29909
Counselor (Professional)
719 OKATIE HWY
OKATIE, SC 29909
Nurse Practitioner (Family)
719 OKATIE HWY
OKATIE, SC 29909

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 Tina Goethie-lyons's NPI number?

The NPI number for Tina Goethie-lyons is 1376915934. It was assigned to this individual provider in the NPPES registry on October 22, 2015.

Where is Tina Goethie-lyons located?

Tina Goethie-lyons practices at 719 Okatie Hwy, Okatie, SC 29909. The listed phone number is (843) 987-7400.

What is Tina Goethie-lyons's specialty?

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

Is Tina Goethie-lyons enrolled in Medicare?

Yes. Tina Goethie-lyons is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Tina Goethie-lyons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Goethie-lyons reassigns Medicare benefits to 11 organizations: Beaufort Jasper Hampton Comprehensive Health Services, Inc. (Ridgeland, SC), Altea Medical South Carolina LLC (Ridgeland, SC), Altea Medical Georgia PC (Sylvania, GA), Centerwell Senior Primary Care (sc) PC (Charleston, SC), Hospice Care Of South Carolina, LLC (Columbia, SC) and 6 more organizations, listed in the Medicare section above. Each 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 Tina Goethie-lyons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tina Goethie-lyons accept?

Health plans from First Choice Next, Molina Healthcare and UnitedHealthcare list Tina Goethie-lyons 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 Tina Goethie-lyons was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.