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NPISignal

Individual Healthcare Provider

Elizabeth Anne Lavalley Otersen, MD

NPI Record: ActivePediatrics
NPI1093455313
Lexington, South Carolina

Provider's NPPES record last updated: July 27, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1093455313
Primary Specialty
Pediatrics
Practice Location
Lexington, South Carolina
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 5:37 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pediatrics

    Allopathic & Osteopathic Physicians

    Primary

    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

    Taxonomy code 208000000X

Provider-Reported License Information

Pediatrics (Pennsylvania)
MD489169
Pediatrics (South Carolina)
96220
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

103 Thompson St Ste 100

Lexington, South Carolina 29072-2543

Phone: (803) 359-8855

Additional Practice Location

16 Woodbine Ln

Danville, Pennsylvania 17821-8029

Phone: (570) 271-5606

Additional Practice Location

4080 Augusta Hwy Ste 100

Gilbert, South Carolina 29054-8893

Phone: (803) 892-1800

Additional Practice Location

4080 Augusta Hwy Ste 100

Gilbert, South Carolina 29054-8893

Phone: (803) 892-1800

Record Information

Enumeration Date
April 1, 2022
Provider's NPPES Record Last Updated
July 27, 2026
Certification Date
July 27, 2026
NPISignal NPPES Dataset
August 2026

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