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

Q: 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.

Q: What is Lavanda Martin'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 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 2 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.

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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

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Medicare Participation & PECOS CMS

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

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.

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