MRS. LISA JEFFUS SMITH (NPI# 1326254046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326254046 |
| Entity Type | Individual |
| Full Name | MRS. LISA JEFFUS SMITH |
| Other Name | LISA JEFFUS MOORE |
| Credential | PA |
| Practice Address |
1761 Pinewood Road Agape Physicians Care Sumter SC 29154 |
| Mailing Address |
1624 Main Street Agape Senior Primary Care, Inc. Dba Agape Physicians Care Columbia SC 29201 |
| Practice Telephone | 8034818591 |
| Practice Fax Number | 8558869360 |
| Mailing Telephone | 8034540365 |
| Mailing Fax Number | 8034046000 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2015-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1307 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
001000182 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626403 | Lisa Whyeyeh Smith | Early Intervention Provider Agency | 6143 186th St Ste 436, Fresh Meadows, NY 11365-2710 | 2020-10-09 |
| 1982211280 | Lisa Marie Smith | Pharmacist | 5409 S 60th Pl, Rogers, AR 72758-8230 | 2020-09-30 |
| 1710590757 | Lisa M Smith | Occupational Therapy Assistant | 920 Westacre Rd, West Sacramento, CA 95691-3224 | 2020-08-28 |
| 1013531060 | Lisa Marie Smith | Student in an Organized Health Care Education/Training Program | 1465 County Road 232, Collinsville, TX 76233 | 2020-06-05 |
| 1699300350 | Lisa Kathryn Smith | Registered Nurse | 7913 Lakeview Dr, Denver, NC 28037-9265 | 2020-03-03 |
| 1821637778 | Lisa Ann Smith | Dietitian, Registered | 522 10th St, Aplington, IA 50604-1073 | 2019-12-24 |
| 1700421450 | Lisa Marie Smith | Nurse Practitioner | 4353 Heyward St, North Port, FL 34291-4561 | 2019-11-16 |
| 1982168290 | Lisa Lynn Smith | Acupuncturist | 531 Central Park Avenue, Suite 304, Searsdale, NY 10583 | 2019-01-31 |
| 1649753120 | Lisa Lynn Smith | Occupational Therapist | 355 Dogwood South Ln, Haughton, LA 71037-8511 | 2018-09-11 |
| 1083193270 | Lisa Smith | Occupational Therapist | 243 Raspberry Rd, Leola, PA 17540-2215 | 2018-08-09 |
| Street Address |
1761 PINEWOOD ROAD AGAPE PHYSICIANS CARE |
| City | SUMTER |
| State | SC |
| Zip Code | 29154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437774346 | George Effah Osei | Family Medicine | Tandem Health, 1278 North Lafayette Drive, Sumter, SC 29154 | 2020-06-16 |
| 1245700855 | Good Samaritan Way | Home Health | 3340 Laurderdale Lane, Sumter, SC 29154 | 2018-11-27 |
| 1255700175 | Sherry Elder | Nurse Practitioner | 2065 Mccrays Mill Road, Ltc Health Solutions, Sumter, SC 29154 | 2015-09-21 |
| 1528454253 | Royal Homecare & Healthcare Staffing, LLC | Nursing Care | 1199 Floyd Dr, Sumter, SC 29154 | 2015-04-09 |
| 1891947305 | Therapy 4 Kids LLC | Physical Therapist | 3265 Tamarah Way, Sumter, SC 29154 | 2008-10-15 |
| 1588792998 | Dental Team of Sumter, P.a. | Dentist | 5635 Broad St Ext, Sumter, SC 29154 | 2007-02-28 |
| 1992893465 | Robert Capers Lee | Dentist | 5635 Broad Street Ext, Sumter, SC 29154 | 2006-10-10 |
| 1225363336 | Arian L. Ray Dds Pa | Dentist | 625 Constitution Drive, Sumter, SC 29154 | 2009-10-07 |
| 1912146523 | Sarah E Pope | Behavioral Analyst | 2580 Lindo Court, Sumter, SC 29154 | 2009-02-05 |
| 1467691071 | Tamara Russell | Behavioral Analyst | 2580 Lindo Court, Sumter, SC 29154 | 2009-02-05 |
| Find all providers in zip 29154 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770712 | Hannah Jenkins | Physician Assistant | 780 Windrow Dr, Sumter, SC 29150-5318 | 2020-11-04 |
| 1699765768 | John Jahnke | Physician Assistant | 2475 Broad St, Sumter, SC 29150-1820 | 2005-10-28 |
| 1417941501 | Leslie Andrew Beben | Physician Assistant | 635 W Wesmark Blvd, Sumter, SC 29150-1900 | 2005-09-06 |
| 1467019018 | Wilhelmenia Miesha Patterson | Physician Assistant | 441 N Main St, Sumter, SC 29150-4232 | 2019-05-20 |
| 1912562695 | Anthony Jason Baugh | Physician Assistant | 2475 Broad St, Sumter, SC 29150-1820 | 2019-05-07 |
| 1912462375 | Kenya Talbert | Physician Assistant | 325 W Liberty St, Sumter, SC 29150-5139 | 2019-02-09 |
| 1902305709 | Christopher Britton Privette | Physician Assistant | 129 North Washington Street, Sumter, SC 29150 | 2018-02-07 |
| 1134671852 | Allison Priddy | Physician Assistant | 129 N Washington St, Sumter, SC 29150-4949 | 2016-10-28 |
| 1871044826 | Kala Young | Physician Assistant | 385 W Wesmark Blvd, Sumter, SC 29150-1987 | 2016-10-14 |
| 1891191409 | Marlisa S Peterson | Physician Assistant | 325 W Liberty St, Sumter, SC 29150-5139 | 2014-11-10 |
| Find all providers in SUMTER | ||||
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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.