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MRS. VIRGINIA W SUMMERALL FNP-BC
NPI 1932248515
Nurse Practitioner - Family in Batesburg Leesville, SC

Active since February 06, 2007PECOS EnrolledAccepts Medicare Assignment
83.03/100
CMS Quality Rating
338 E COLUMBIA AVE, BATESBURG LEESVILLE, SC 29070(803) 604-0066(803) 604-9924 Get Directions Write a Review

NPPES record last updated: November 11, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 11, 2020, Oct 2, 2020, Jun 22, 2017 (3 updates tracked since 2017).

About Mrs. Virginia W Summerall Fnp-bc NPPES

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

MRS. VIRGINIA W SUMMERALL FNP-BC (NPI 1932248515) is an individual family provider in Batesburg Leesville, South Carolina, licensed in South Carolina (123) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1932248515
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. VIRGINIA W SUMMERALLCredential: FNP-BC
Location Address338 E COLUMBIA AVEBatesburg Leesville, SC 29070-9285
Mailing AddressPo Box 6069West Columbia, SC 29171-6069
Phone(803) 604-0066
Fax(803) 604-9924
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateFebruary 6, 2007
Last NPPES UpdateNovember 11, 20203 updates tracked since enumeration
NPPES CertifiedNovember 11, 2020
✔ NPI 1932248515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in SC · 123✔ Licensed in SC · APRN 123
338 E COLUMBIA AVE, Batesburg Leesville, SC 29070
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Virginia W Whitehead Fnp

Other Identifiers 1

MedicaidNPO444SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Molina Healthcare, UnitedHealthcare.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

Mrs. Virginia W Summerall Fnp-bc 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 ID143315358
PECOS Enrollment IDI20071003000374
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 5

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
50 services32 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
45 services41 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
30 services29 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
18 services15 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420073
Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29070 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.45
Promoting Interoperability89
Improvement Activities40
Cost72.17

Other Providers at the Same Location NPPES 18

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

RIDGE PEDIATRICS AND ADOLESCENT CENTER
Specialist
338 E COLUMBIA AVE, SUITE E
LEESVILLE, SC 29070
Lexington County (803) 532-2877
COOPER GUNTER
Family Medicine
338 E COLUMBIA AVE
BATESBURG LEESVILLE, SC 29070
Lexington County (803) 332-4300
MS. VERONDA JANELLE MCIVER
Nurse Practitioner (Family)
338 E COLUMBIA AVE
BATESBURG LEESVILLE, SC 29070
Lexington County (803) 332-4300
MRS. MONICA HALLMAN WHITEHEAD NP
Nurse Practitioner (Family)
338 E COLUMBIA AVE
BATESBURG-LEESVILLE, SC 29070
Lexington County (803) 604-0066
EAU CLAIRE COOPERTIVE HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
338 E COLUMBIA AVE, SUITE B
LEESVILLE, SC 29070
Lexington County (803) 532-1580
MRS. CAGNEY BAKER RN-BSN
Nurse Practitioner (Family)
338 E COLUMBIA AVE
BATESBURG LEESVILLE, SC 29070
Lexington County (803) 604-0066
LEXINGTON HEALTH INC
Clinic/Center (Rural Health)
338 E COLUMBIA AVE
BATESBURG LEESVILLE, SC 29070
Lexington County (803) 604-0066
BETH SANDERS FNP
Nurse Practitioner (Family)
338 E COLUMBIA AVE
LEESVILLE, SC 29070
Lexington County (803) 532-1580

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 Virginia Summerall's NPI number?

The NPI number for Virginia Summerall is 1932248515. It was assigned to this individual provider in the NPPES registry on February 6, 2007. The provider is also known as Ms. Virginia W Whitehead Fnp.

Where is Virginia Summerall located?

Virginia Summerall practices at 338 E Columbia Ave, Batesburg Leesville, SC 29070. The listed phone number is (803) 604-0066.

What is Virginia Summerall's specialty?

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

Is Virginia Summerall enrolled in Medicare?

Yes. Virginia Summerall 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 Virginia Summerall accept?

Health plans from BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Virginia Summerall 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 Virginia Summerall affiliated with any hospitals?

According to CMS data, Virginia Summerall is affiliated with Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Virginia Summerall was last updated on November 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.