LEXINGTON PEDIATRIC PRACTICE – NPI #1861418329
Pediatrics

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.

LEXINGTON PEDIATRIC PRACTICE is a provider located in LEXINGTON, SC. NPPES has assigned the NPI number 1861418329 to LEXINGTON PEDIATRIC PRACTICE on July 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LEXINGTON PEDIATRIC PRACTICE” is a dba name, the actual legal business name for this organization is LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.. The primary taxonomy selected by this provider is 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine

The NPI profile was previously updated about 6 years ago on Jun 25, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LEXINGTON PEDIATRIC PRACTICE below.

NPI Profile for
LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.

NPI Number
1861418329
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
Doing Business As (dba): LEXINGTON PEDIATRIC PRACTICE
Primary location
811 WEST MAIN STREET
STE 204
LEXINGTON, SC 29072
Phone: (803) 359-8855 Fax: (803) 359-1257
1 Other location(s):
3240 Sunset Blvd
West Columbia, SC 29169-3428
Phone: (803) 359-8855
Fax: (803) 794-6480
Mailing address
470 HULON LN
ATTN: VP REVENUE CYCLE
WEST COLUMBIA, SC 29169
Phone: (803) 359-8855 Fax: (803) 359-1257
Organization Subpart
Yes - LEXINGTON PEDIATRIC PRACTICE is subpart of another organization.
Authorized Official
MELINDA KRUZNER
EXECUTIVE VICE PRESIDENT
Phone: (803) 791-2000
Updated
Certification Date
Jun 25, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for LEXINGTON PEDIATRIC PRACTICE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSCGP0991
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080A0000X
- Pediatrics / Adolescent Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.