Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Vicki Lynn Landis, WHNP-BC

Individual provider Women's Health Nurse Practitioner · NPI 1194067066

Mrs. Vicki Lynn Landis, WHNP-BC is a Nurse Practitioner in Fairfax, South Carolina. Qualified in 2012, 14 years ago. Practices with Low Country Health Care System Inc, a 34-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
14
Licensed in
SC
In the registry since
2013

Practice location Address checks out

333 Revolutionary Trl
Fairfax, SC 29827-7109
Phone: (803) 632-2533
Fax: (803) 632-3285
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 27377 (SC)

Record details

NPI number1194067066
Entity typeIndividual (Type 1)
GenderFemale
Credentials WHNP-BC
Sole proprietorNo
NPI enumeratedMarch 19, 2013
Last updated in NPPESJanuary 11, 2024
Certification dateJanuary 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Low Country Health Care System Inc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fairfax