LEXINGTON FAMILY PRACTICE LAKE MURRAY - NPI 1629096581

Q: What is Lexington County Health Serv's NPI number?

The NPI number for Lexington County Health Serv is 1629096581. It was assigned to this organization in the NPPES registry on July 18, 2006. The provider is doing business as Lexington Family Practice Lake Murray.

Q: What is Lexington County Health Serv's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Lexington Family Practice Lake Murray NPPES

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

LEXINGTON FAMILY PRACTICE LAKE MURRAY (NPI 1629096581) is a healthcare organization registered as a family medicine in Lexington, South Carolina and active in the NPI registry since July 2006. The organization holds an CLIA Accreditation certificate valid through August 18, 2026 and lists Melinda P. Kruzner, Executive Vice President, as its authorized official.

NPPES Registry Identity

NPI1629096581

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameLEXINGTON COUNTY HEALTH SERV

Location Address2006 AUGUSTA HWYLexington, SC 29072-4810

Mailing Address508 Hulon LnWest Columbia, SC 29169-3439 · (803) 785-4747 · Fax (803) 785-4750

Phone(803) 785-4747

Fax(803) 785-4750

Organization SubpartYesParent: Lexington County Health Services District Inc.

Authorized OfficialMelinda P. KruznerExecutive Vice President · (803) 791-2000

Enumeration DateJuly 18, 2006

Last NPPES UpdateNovember 23, 2016

✔ NPI 1629096581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2006 AUGUSTA HWY, Lexington, SC 29072

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Other Names 1

Doing Business AsLexington Family Practice Lake Murray

Other Identifiers 3

MedicaidGP3226SC

Medicare PINCI7041SC

Medicare PIN7102SC

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

CLIA Laboratory Certificates CMS CLIA

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 42D0990564

Lexington Family Practice-Lake Murray · Lexington, SC

Active · expires Aug 18, 2026

CLIA Number42D0990564

Laboratory TypePhysician Office

Certificate Effective DateAugust 19, 2024

Certificate Expiration DateAugust 18, 2026

Laboratory DirectorCarl J. Shealy

Laboratory Phone(803) 785-4747

Laboratory LocationLexington Family Practice-Lake Murray2006 Augusta Hwy, Lexington, SC 29072

CLIA data matches this NPI record on: Address 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.

Other Providers at the Same Location NPPES 12

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

DR. CLARENCE E COKER III MD

Family Medicine