Individual provider

Leah Antunes, CMA

Exclusive Provider Organization Driver Private Vehicle

Leah Antunes, CMA is a provider specialising in Exclusive Provider Organization in Lexington, SC, registered under NPI 1154795615. This provider registers 5 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 110 MOCKINGBIRD DR, Lexington, SC 29073. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

110 MOCKINGBIRD DR, Lexington, SC 29073 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
47-5267829 SC Exclusive Provider Organization primary
100295992 SC Driver
100295992 SC Private Vehicle
475267829 SC Voluntary or Charitable Agency
475267829 SC Community/Behavioral Health Agency

This provider holds licence 47-5267829 issued in SC. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Exclusive Provider Organization covers

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. NUCC Health Care Provider Taxonomy, code 302F00000X
Managed Care Organizations Exclusive Provider Organization

All registered taxonomy codes

This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
302F00000X Exclusive Provider Organization 47-5267829 SC primary
172A00000X Driver 100295992 SC
347C00000X Private Vehicle 100295992 SC
251V00000X Voluntary or Charitable Agency 475267829 SC
251S00000X Community/Behavioral Health Agency 475267829 SC

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1154795615 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateNov 20, 2015
Last updatedJun 23, 2016
StatusActive
Sole proprietorYes
CredentialCMA
Practice address 110 MOCKINGBIRD DR
Lexington, SC 29073
(803) 237-4103
This record was last updated on Jun 23, 2016, roughly 10 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1154795615 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 5 4 7 9 5 6 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 1 4 5 9 1 6 2

Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1154795615?
NPI 1154795615 is the National Provider Identifier assigned to Leah Antunes, CMA in Lexington, SC. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Exclusive Provider Organization cover?
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO…
How do I contact Leah Antunes, CMA?
The phone number on file with NPPES is (803) 237-4103, last updated Jun 23, 2016. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1154795615 a valid number?
Yes. 1154795615 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.