DR. HELEN D LATHAM M.D.
NPI 1831168129
Obstetrics & Gynecology in Lexington, SC

Active since March 17, 2006PECOS EnrolledAccepts Medicare Assignment
5336 SUNSET BLVD STE A, LEXINGTON, SC 29072(803) 567-8900(803) 567-8909 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2018, Oct 1, 2018, Apr 19, 2018 (3 updates tracked since 2018).

About Dr. Helen D Latham M.d. NPPES

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

DR. HELEN D LATHAM M.D. (NPI 1831168129) is an individual obstetrics & gynecology provider in Lexington, South Carolina, licensed in South Carolina (14576) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and maintains a secondary practice location in Sumter.

NPPES Registry Identity

NPI1831168129
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. HELEN D LATHAMCredential: M.D.
Location Address5336 SUNSET BLVD STE ALexington, SC 29072-9393
Mailing Address300 E Mcbee Ave Ste 300Greenville, SC 29601-2899 · (864) 522-8611 · Fax (803) 296-7330
Fax(803) 567-8909
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1988
Enumeration DateMarch 17, 2006
Last NPPES UpdateJanuary 14, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
NPI 1831168129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in SC · 14576
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
5336 SUNSET BLVD STE A, Lexington, SC 29072

Secondary Practice Location 1

Location 1115 N Sumter St, SUITE 200Sumter, SC 29150-4968 · Phone (803) 775-8351 · Fax (803) 774-1512

Other Identifiers 2

Medicaid145765SC
OtherF361607124SC · Medicare Id

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Helen D Latham M.d. 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 ID2769431360
PECOS Enrollment IDI20050121000079
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.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
67 services46 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services34 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
29 services29 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
26 services21 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
21 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420018
Location5 Medical ParkColumbia, SC 29203 · Richland County
Emergency services Birthing friendly

Prisma Health Baptist

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420086
Location1330 Taylor At Marion StColumbia, SC 29220 · Richland County
Emergency services Birthing friendly

Prisma Health Baptist Parkridge

Acute Care Hospitals · Columbia, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420106
Location400 Palmetto Health ParkwayColumbia, SC 29212 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29072 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
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 8

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

Internal Medicine
5336 SUNSET BLVD STE A
LEXINGTON, SC 29072
Physician Assistant
5336 SUNSET BLVD STE A
LEXINGTON, SC 29072
Physician Assistant
5336 SUNSET BLVD STE A
LEXINGTON, SC 29072
Nurse Practitioner (Women's Health)
5336 SUNSET BLVD STE A
LEXINGTON, SC 29072
Obstetrics & Gynecology
5336 SUNSET BLVD STE A
LEXINGTON, SC 29072
Internal Medicine (Rheumatology)
5336 SUNSET BLVD STE A
LEXINGTON, SC 29072
Nurse Practitioner (Family)
5336 SUNSET BLVD STE A
LEXINGTON, SC 29072
Obstetrics & Gynecology
5336 SUNSET BLVD STE A
LEXINGTON, SC 29072

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 Helen Latham's NPI number?

The NPI number for Helen Latham is 1831168129. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is Helen Latham located?

Helen Latham practices at 5336 Sunset Blvd Ste A, Lexington, SC 29072. The listed phone number is (803) 567-8900.

What is Helen Latham's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Helen Latham enrolled in Medicare?

Yes. Helen Latham 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.

What insurance does Helen Latham accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Helen Latham 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.

Is Helen Latham affiliated with any hospitals?

According to CMS data, Helen Latham is affiliated with Prisma Health Richland Hospital, Prisma Health Baptist and Prisma Health Baptist Parkridge.

When was this NPI record last updated?

The NPPES record for Helen Latham was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.