Individual provider Active NPI

Sydney Eaker Seagraves, PA-C

  • Physician Assistant
  • Greenwood, SC
National Provider Identifier
1003695453
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5052 Issued in SC
Practice address
313 Main St
Greenwood, SC 29646-2757
Phone
(864) 229-4446
NPI assigned
Sep 25, 2023
Last updated
Feb 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5052 SC Primary

Addresses

Primary practice location

313 Main St
Greenwood, SC 29646-2757

Mailing address

152 N Main St
Due West, SC 29639-9556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231120002287 SC Practitioner - Physician Assistant 2466800040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Health Centers IncGroup PAC ID 5496707804, 30 clinicians

Practice addresses (Care Compare)

22725 Hwy 76 E
Clinton, SC 29325-7527
Phone (864) 547-8304

313 Main St
Greenwood, SC 29646-2757
Phone (864) 229-4446

535 Jackson St
Calhoun Falls, SC 29628-1222
Phone (864) 447-8578

93 S Greenwood Ave
Ware Shoals, SC 29692-1534
Phone (864) 456-7436

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5052SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Health Centers, Inc. Family Medicine CurrentSince Sep 25, 2023 Accepting new patients
Carolina Health Centers, Inc. Family Medicine CurrentSince Sep 25, 2023 Accepting new patients
Carolina Health Centers, Inc. Family Medicine Past Accepting new patients

Locations

313 Main St
#A
Greenwood, SC 29646
Phone (864) 229-4446

313 Main St
#B
Greenwood, SC 29646

313 Main St
Ste B
Greenwood, SC 29646
Phone (864) 229-4446

Interoperability endpoints

  • Direct secure messaging: seaker664285@direct.ochin.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1003695453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 N MAIN ST",
            "city": "DUE WEST",
            "state": "SC",
            "postal_code": "296399556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 MAIN ST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296462757",
            "telephone_number": "864-229-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAGRAVES",
        "first_name": "SYDNEY",
        "middle_name": "EAKER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "5052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.