KELLEY S WOMACK (NPI# 1336234863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336234863 |
| Entity Type | Individual |
| Full Name | KELLEY S WOMACK |
| Credential | PA |
| Practice Address |
2006 Augusta Hwy Lexington SC 29072-2208 |
| Mailing Address |
508 Hulon Ln West Columbia SC 29169-3439 |
| Practice Telephone | 8037854747 |
| Practice Fax Number | 8037854750 |
| Mailing Telephone | 8037854747 |
| Mailing Fax Number | 8037854750 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1847 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
0000102753 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2006 AUGUSTA HWY |
| City | LEXINGTON |
| State | SC |
| Zip Code | 29072-2208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003891508 | Clarence E Coker IIi | Family Medicine | 2006 Augusta Hwy, Lexington, SC 29072-2208 | 2005-12-07 |
| 1295116606 | Nicholas Garrett Watson | Family Medicine | 2006 Augusta Hwy, Lexington, SC 29072 | 2015-06-11 |
| 1629100870 | Kimberly P Hawkes | Family Medicine | 2006 Augusta Hwy, Lexington, SC 29072-2208 | 2007-03-12 |
| 1679601330 | Benjamin Jerome Askins | Family Medicine | 2006 Augusta Hwy, Lexington, SC 29072-2208 | 2007-03-02 |
| 1174535967 | Leslie K West | Family Medicine | 2006 Augusta Hwy, Lexington, SC 29072-2208 | 2006-08-12 |
| 1891706917 | Carl J Shealy | Family Medicine | 2006 Augusta Hwy, Lexington, SC 29072-2208 | 2006-08-11 |
| 1184645830 | William D Brearley | Family Medicine | 2006 Augusta Hwy, Lexington, SC 29072-2208 | 2006-07-21 |
| 1629096581 | Lexington County Health Serv | Family Medicine | 2006 Augusta Hwy, Lexington, SC 29072-4810 | 2006-07-18 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306118617 | Lb Health Psc | Physician Assistant | 1904 Nicholasville Rd, Lexington, KY 40503-2025 | 2012-02-01 |
| 1174890172 | Clayton Phillip Gatterdam Iv | Physician Assistant | 3205 Summit Square Suite 100, Lexington, KY 40509 | 2011-11-19 |
| 1134237340 | Rebecca Ward Hogsten | Physician Assistant | 4071 Tates Creek Centre Dr Ste 100, Lexington, KY 40517-3062 | 2006-08-28 |
| 1427003524 | David Wendell Moore | Physician Assistant | 101 Prosperous Pl Ste 300, Lexington, KY 40509-1836 | 2006-05-24 |
| 1376514760 | Kerri F Stillwell | Physician Assistant | 110 Houston Street, Lexington, VA 24450-0912 | 2006-02-01 |
| 1215914684 | Philip Harold Lafleur | Physician Assistant | 1055 Dove Run Road, Lexington, KY 40502 | 2005-12-28 |
| 1083690317 | Jana Sue Cuddy | Physician Assistant | 1055 Dove Run Rd, Lexington, KY 40502 | 2005-12-19 |
| 1942852157 | Anna Gayle Scott | Physician Assistant | 989 Governors Ln Ste 220, Lexington, KY 40513-1175 | 2019-07-09 |
| 1609333582 | Hannah Leigh Burford | Physician Assistant | 1401 Harrodsburg Rd Ste C305, Lexington, KY 40504-3771 | 2019-02-27 |
| 1881177186 | Sarah Kruyer | Physician Assistant | 250 Hospital Dr, Lexington, NC 27292-6792 | 2018-09-12 |
| Find all providers in LEXINGTON | ||||
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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.