Individual provider · Type 1 NPI

Tracey Michelle Lyons-White, PA-C

Physician Assistant · Columbia, SC

NPI number 1730500869 Active

Practice location

3010 Farrow Rd Ste 200A
Columbia, SC 29203-7606

Call (844) 972-7752 Map

Fax (770) 962-3643

Mailing address

455 Philip Blvd Ste 140
Lawrenceville, GA 30046-8768

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X4541 (SC)

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, orde…

Other physician assistant providers in Columbia

See all in Columbia →

About NPI 1730500869

Tracey Michelle Lyons-White, PA-C's National Provider Identifier is 1730500869, issued on Dec 16, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Columbia, SC. The record was last updated on May 29, 2026.