1. Home
  2. Directory
  3. South Carolina
  4. Lexington
  5. Pediatrics
  6. NPI Profile

LEXINGTON PEDIATRIC PRACTICE
NPI 1861418329
Pediatrics - Adolescent Medicine in Lexington, SC

Active since July 15, 2006CLIA Certified · 2 labs
811 WEST MAIN STREET, STE 204, LEXINGTON, SC 29072(803) 359-8855(803) 359-1257 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 25, 2020, Nov 25, 2016 (2 updates tracked since 2016).

About Lexington Pediatric Practice NPPES

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

LEXINGTON PEDIATRIC PRACTICE (NPI 1861418329) is a healthcare organization registered as an adolescent medicine in Lexington, South Carolina and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in West Columbia, and lists Melinda P Kruzner, Executive Vice President, as its authorized official.

NPPES Registry Identity

NPI1861418329
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameLEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
Location Address811 WEST MAIN STREET, STE 204Lexington, SC 29072
Mailing Address470 Hulon Ln, Attn: Vp Revenue CycleWest Columbia, SC 29169 · (803) 359-8855 · Fax (803) 359-1257
Phone(803) 359-8855
Fax(803) 359-1257
Organization SubpartYes
Authorized OfficialMelinda P KruznerExecutive Vice President · (803) 791-2000
Enumeration DateJuly 15, 2006
Last NPPES UpdateJune 25, 20202 updates tracked since enumeration
NPPES CertifiedJune 25, 2020
✔ NPI 1861418329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
811 WEST MAIN STREET, Lexington, SC 29072
Open in Google Maps ↗

Other Names 1

Doing Business AsLexington Pediatric Practice

Secondary Practice Location 1

Location 13240 Sunset BlvdWest Columbia, SC 29169-3428 · Phone (803) 359-8855 · Fax (803) 794-6480

Other Identifiers 1

MedicaidGP0991SC

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 2

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 42D2117353

Lexington Pediatric Practice, West Columbia · West Columbia, SC
Active · expires Oct 12, 2027
CLIA Number42D2117353
Laboratory TypePhysician Office
Certificate Effective DateOctober 13, 2025
Certificate Expiration DateOctober 12, 2027
Laboratory DirectorCaleb Wheeler
Laboratory Phone(803) 359-8855
Laboratory LocationLexington Pediatric Practice, West Columbia3240 Sunset Blvd, West Columbia, SC 29169
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.

Certificate of Accreditation 42D0671915

Lexington Pediatric Practice · Lexington, SC
Active · expires Jun 8, 2028
CLIA Number42D0671915
Laboratory TypePhysician Office
Certificate Effective DateJune 9, 2026
Certificate Expiration DateJune 8, 2028
Laboratory DirectorCaleb Wheeler
Laboratory Phone(803) 359-8855
Laboratory LocationLexington Pediatric Practice103 Thompson Street, Suite 100, Lexington, SC 29072
CLIA data matches this NPI record on: 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 8

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

LEXINGTON COUNTY HEALTH SERVICES DISTRICT INC
Obstetrics & Gynecology
811 WEST MAIN STREET, STE 206
LEXINGTON, SC 29072
Lexington County (803) 358-6200
DR. JAN L MCBRIDE MD
Family Medicine
811 WEST MAIN STREET
LEXINGTON, SC 29072
Lexington County (803) 358-6100
LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
Clinic/Center (Radiology)
811 WEST MAIN STREET
WEST COLUMBIA, SC 29072
Lexington County (803) 358-6100
JOHN E GOLAY MD
Family Medicine
811 WEST MAIN STREET, STE 207
LEXINGTON, SC 29072
Lexington County (803) 358-6420
STACIE J BOYER MD
Family Medicine
811 WEST MAIN STREET, STE 207
LEXINGTON, SC 29072
Lexington County (803) 358-6420
DR. SALLY L HERPST MD
Emergency Medicine
811 WEST MAIN STREET
LEXINGTON, SC 29072
Lexington County (803) 358-6100
LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
Clinical Medical Laboratory
811 WEST MAIN STREET
LEXINGTON, SC 29072
Lexington County (803) 358-6100
LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
Clinic/Center (Urgent Care)
811 WEST MAIN STREET
LEXINGTON, SC 29072
Lexington County (803) 358-6100

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 Lexington County Health Services District, Inc.'s NPI number?

The NPI number for Lexington County Health Services District, Inc. is 1861418329. It was assigned to this organization in the NPPES registry on July 15, 2006. The provider is doing business as Lexington Pediatric Practice.

Where is Lexington County Health Services District, Inc. located?

Lexington County Health Services District, Inc. is located at 811 West Main Street Ste 204, Lexington, SC 29072. The listed phone number is (803) 359-8855.

What is Lexington County Health Services District, Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Lexington County Health Services District, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Lexington County Health Services District, Inc. was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.