MEDEXPRESS PRIMARY CARE SOUTH CAROLINA, P.C. (NPI# 1548754724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548754724 |
Entity Type | Organization |
Organization Name | MEDEXPRESS PRIMARY CARE SOUTH CAROLINA, P.C. |
Other Organization Name | LEXINGTON MICHELIN FAMILY HEALTH CENTER |
Practice Address |
2480 Two Notch Rd Lexington SC 29072 |
Mailing Address |
1001 Consol Energy Dr Canonsburg PA 15317-6506 |
Practice Telephone | 8039515871 |
Practice Fax Number | 8039515872 |
Mailing Telephone | 3042252500 |
Mailing Fax Number | 7247431133 |
Enumeration Date | 2018-06-20 |
Last Update Date | 2018-07-02 |
Authorized Official Name | BRETT GALL (DIRECTOR PAYOR CONTRACTING) |
Authorized Official Telephone | 3042252500 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Lexington Michelin Family Health Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902364680 | Medexpress Primary Care South Carolina, P.C. | Family Medicine | 955 Boscobel Rd, Anderson, SC 29625-6704 | 2019-03-12 |
1285128462 | Medexpress Primary Care South Carolina, P.C. | Family Medicine | 525 Michelin Rd, Greenville, SC 29605 | 2018-06-20 |
1598259772 | Medexpress Primary Care South Carolina, P.C. | Family Medicine | 10 Parkway S, Greenville, SC 29615 | 2018-06-20 |
1083108260 | Medexpress Primary Care South Carolina, P.C. | Family Medicine | 1785 New Cut Rd, Spartanburg, SC 29303 | 2018-06-20 |
1336633510 | Medexpress Primary Care South Carolina, P.C. | Family Medicine | 10 Bib Way, Anderson, SC 29626 | 2018-06-20 |
Street Address |
2480 TWO NOTCH RD |
City | LEXINGTON |
State | SC |
Zip Code | 29072 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457310690 | Michael Elmo Reed | Family Medicine | 2480 Two Notch Rd, Lexington, SC 29072-7963 | 2006-03-17 |
1952936379 | Franklin Benik | Chiropractor | 2480 Two Notch Rd, Lexington, SC 29072-7963 | 2020-03-05 |
1700202819 | Healthworks Med Group of South Carolina P C | Clinic/Center | 2480 Two Notch Rd, Lexington, SC 29072-7963 | 2014-03-13 |
1033551890 | Donna Marie Bridger | Nurse Practitioner | 2480 Two Notch Rd, Lexington, SC 29072-7963 | 2013-07-22 |
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 | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649775586 | Landmark Medical of Kentucky, Psc | General Practice | 113 Glenn Pl Unit 100, Lexington, KY 40505-3518 | 2018-03-23 |
1962816991 | Brittney Dudley | General Practice | 800 Rose Street C 246, Lexington, KY 40536-0001 | 2014-06-18 |
1902223431 | William Bennett | General Practice | 319 Saxony Ct, Lexington, SC 29072-7957 | 2014-03-21 |
1245583236 | Lynnell Dupont | General Practice | 690 Mason Headley Rd Apt 210, Lexington, KY 40504-2337 | 2012-10-16 |
1437401957 | Mh Health Care Services, PC | General Practice | 740 W New Circle Rd, C/o Lexmark Health Center, Lexington, KY 40511-1806 | 2012-10-08 |
1548558489 | Dora Edith Hahn | General Practice | 1 Windy Ridge Ln, Lexington, SC 29073-8964 | 2011-07-13 |
1073703336 | Jerry Roger Hersey | General Practice | 2517 Bridle Ct, Lexington, KY 40504-1619 | 2007-08-01 |
1619195195 | Michael Shawn Houston | General Practice | Hwy 39, Lexington, OK 73051 | 2007-04-23 |
1629132345 | Avtar Robert Moore | General Practice | 9 N Randolph St, Lexington, VA 24450-2507 | 2006-12-20 |
1063434538 | John Mullins | General Practice | 2251 War Admiral Way, Suite 125, Lexington, KY 40509 | 2006-07-24 |
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.