Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Tracey Michelle Lyons-White, PA-C

Individual provider Physician Assistant · NPI 1730500869

MS. Tracey Michelle Lyons-White, PA-C is a Physician Assistant in Columbia, South Carolina. Qualified in 2013, 13 years ago. Practices with Medcare Express - North Charleston LLC, a 69-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
13
Licensed in
SC
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3010 Farrow Rd Ste 200A
Columbia, SC 29203-7606
Phone: (844) 972-7752
Fax: (770) 962-3643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4541 (SC)

Record details

NPI number1730500869
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 16, 2013
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Medcare Express - North Charleston Llc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Columbia