CAROLINA DEVELOPMENTAL CLINIC, LLC (NPI# 1225346737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225346737 |
| Entity Type | Organization |
| Organization Name | CAROLINA DEVELOPMENTAL CLINIC, LLC |
| Practice Address |
107 Vista Oaks Dr Ste C Lexington SC 29072-8230 |
| Practice Telephone | 8039575856 |
| Practice Fax Number | 8039575856 |
| Mailing Telephone | 8039575856 |
| Mailing Fax Number | 8039575856 |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2010-09-17 |
| Authorized Official Name | DR. SHELLY DEANNE BRIGMAN (OWNER AND MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8039575856 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
23497 | SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 234972 | 05 |
| Street Address |
107 VISTA OAKS DR STE C |
| City | LEXINGTON |
| State | SC |
| Zip Code | 29072-8230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484821 | Grace Physicians Services | Clinic/Center | 1483 Old Cherokee Road, Lexington, SC 29072 | 2020-10-12 |
| 1750995007 | Trinity Health and Wellness | Clinic/Center | 1483 Old Cherokee Rd, Lexington, SC 29072 | 2020-09-03 |
| 1730727629 | Erika Watts | Occupational Therapist | 100 Tarrar Springs Road, Sped, Lexington, SC 29072 | 2019-12-11 |
| 1194380600 | Lexington County Health Services District, Inc. | Clinic/Center | 154 Saluda Pointe Ct, Lexington, SC 29072 | 2019-05-09 |
| 1962973768 | William R. Key | Counselor | Lexington Community Mental Health Center, 301 Palmetto Park Boulevard, Lexington, SC 29072 | 2018-12-06 |
| 1639651961 | Lindsey Terry | Social Worker | 108 Palmetto Pk. Boulveard, Suite D, Lexington, SC 29072 | 2018-09-04 |
| 1922594126 | Dental Professional of South Carolina, P.C. | Dentist | 2448 Augusta Hwy, Lexington, SC 29072 | 2018-07-11 |
| 1598251605 | Lynn Marceline Beckett-lowe | Nurse Practitioner | 124 Pink Camellia Lane, Lexington, SC 29072 | 2018-07-02 |
| 1083120620 | Diana Reiss | Counselor | 714 S Lake Drive, 120, Lexington, SC 29072 | 2017-12-19 |
| 1649781857 | Constance Jean Lynch | Occupational Therapist | 800 North Lake Boulevard, Lexington, SC 29072 | 2017-10-14 |
| Find all providers in zip 29072 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255642229 | Mass General Physician Organizatio | Clinic/Center | 1 Maguire Rd, Lexington, MA 02421-3114 | 2010-06-24 |
| 1538366778 | Institute for Learning and Development | Clinic/Center | 125 Hartwell Ave, Lexington, MA 02421-3100 | 2007-06-29 |
| 1265508485 | Specialized Alternative for Families and Youth of Kentucky, Inc. | Clinic/Center | 861 Corporate Dr, Suite 101, Lexington, KY 40503-5432 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114561206 | Teresa White | Clinic/Center | 398 Old South Rd, Duncan, SC 29334-9266 | 2019-10-31 |
| 1144782640 | Williamsburg County Disabilities and Special Needs Board | Clinic/Center | 61 Greenlee St, Kingstree, SC 29556-6136 | 2019-04-03 |
| 1124414495 | Sunshine Pediatric Therapy of South Carolina | Clinic/Center | 5 Ivy Lawn Pl, Greenville, SC 29605-6522 | 2015-04-13 |
| 1396064382 | Palmetto Pediatric Ot, LLC | Clinic/Center | 2427 Old Lexington Highway, Chapin, SC 29036 | 2010-05-31 |
| 1023153996 | Medically Fragile Childrens Program | Clinic/Center | 2750 Speissegger Drive, Suite 108, N Charleston, SC 29405-8701 | 2007-02-20 |
| 1043394976 | Carolina Autism Supported Living Services | Clinic/Center | 4 Carriage Ln Ste 302, Charleston, SC 29407-6050 | 2006-10-25 |
| 1831639459 | Upstate Affiliate Organization | Clinic/Center | 249 N Grove Medical Park Dr, #300, Spartanburg, SC 29303-4227 | 2017-03-01 |
| 1396291407 | Prisma Health-upstate | Clinic/Center | 29 N Academy St, Greenville, SC 29601-2629 | 2016-08-29 |
| 1336695436 | Prisma Health-upstate | Clinic/Center | 29 N Academy St, Greenville, SC 29601-2629 | 2016-08-29 |
| 1073521951 | Greenville Health System | Clinic/Center | 29 N Academy St, Greenville, SC 29601-2629 | 2006-08-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.