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LAVANDA AYANA SMOOT MARTIN FNP-BC
NPI 1548936404
Nurse Practitioner - Family in Florence, SC

Active since August 20, 2021PECOS Enrolled
2724 W PALMETTO ST STE 5, FLORENCE, SC 29501(843) 799-2649(843) 799-4224 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 5, 2026, Apr 10, 2026, Jan 6, 2025 and 1 more (4 updates tracked since 2021).

About Lavanda Ayana Smoot Martin Fnp-bc NPPES

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

LAVANDA AYANA SMOOT MARTIN FNP-BC (NPI 1548936404) is an individual family provider in Florence, South Carolina, licensed in South Carolina (29323) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548936404
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAVANDA AYANA SMOOT MARTINCredential: FNP-BC
Location Address2724 W PALMETTO ST STE 5Florence, SC 29501-4909
Mailing Address2724 W Palmetto St Ste 5Florence, SC 29501-4909 · (843) 799-2649 · Fax (843) 799-4224
Phone(843) 799-2649
Fax(843) 799-4224
Sole ProprietorYes
Enumeration DateAugust 20, 2021
Last NPPES UpdateMay 5, 20264 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
✔ NPI 1548936404 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 · 29323
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 236919 (SC)
Also ListedPathology · Clinical Laboratory Director, Non-physicianTaxonomy 247ZC0005X
2724 W PALMETTO ST STE 5, Florence, SC 29501
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lavanda Ayana Smoot Martin Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Lavanda Martin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Revived Medical Community Clinic
Same address
Clinic/Center
2724 W PALMETTO ST STE 5
Florence, SC 29501
  • Reassigned Medicare billing, South Carolina enrollment
NPI 1306653688 (843) 799-2649

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29501 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.

REVIVED MEDICAL COMMUNITY CLINIC
Clinic/Center
2724 W PALMETTO ST STE 5
FLORENCE, SC 29501
Florence County (843) 799-2649
GERILYN SAMPSON RN
Registered Nurse (General Practice)
2724 W PALMETTO ST STE 5
FLORENCE, SC 29501
Florence County (513) 280-0667
LIFE SAVIOR IN HOME PATIENT CARE, LLC
In Home Supportive Care
2724 W PALMETTO ST STE 5
FLORENCE, SC 29501
Florence County (843) 992-2682
REVIVED MEDICAL LAB, LLC
Clinical Medical Laboratory
2724 W PALMETTO ST STE 5
FLORENCE, SC 29501
Florence County (843) 799-2649
LIFE SAVIOR TRANSPORTATION, LLC
Non-emergency Medical Transport (VAN)
2724 W PALMETTO ST STE 5
FLORENCE, SC 29501
Florence County (843) 407-4006

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 Lavanda Martin's NPI number?

The NPI number for Lavanda Martin is 1548936404. It was assigned to this individual provider in the NPPES registry on August 20, 2021.

Where is Lavanda Martin located?

Lavanda Martin practices at 2724 W Palmetto St Ste 5, Florence, SC 29501. The listed phone number is (843) 799-2649.

What is Lavanda Martin's specialty?

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

Is Lavanda Martin enrolled in Medicare?

Yes. Lavanda Martin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lavanda Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lavanda Martin reassigns Medicare benefits to Revived Medical Community Clinic (Florence, SC). The 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 Lavanda Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lavanda Martin was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.