Active NPI
Sylvester Sarratt, CAC II
- Addiction (Substance Use Disorder) Counselor
- Kingstree, SC
National Provider Identifier
1013353820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 12122114
- Practice address
- 115 Short St
Kingstree, SC 29556-3924 - Phone
- (843) 355-9113
- Fax
- (843) 355-9389
- NPI assigned
- May 20, 2013
- Last updated
- May 20, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12122114 | SC | Primary |
Addresses
Primary practice location
115 Short St
Kingstree, SC 29556-3924
Mailing address
4726 Callie Young Rd
Effingham, SC 29541-3660
Phone (843) 678-9102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AD29WL | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12122114 | SC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Valley Physicians Inc | Past | Accepting new patients | |
| Williamsburg County Alcohol and Drug Abuse | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Kingstree, SC
- NPI 1174085641
-
- Professional Counselor
- Kingstree, SC
- NPI 1356371033
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369008000000",
"number": "1013353820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4726 CALLIE YOUNG RD",
"city": "EFFINGHAM",
"state": "SC",
"postal_code": "295413660",
"telephone_number": "843-678-9102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 SHORT ST",
"city": "KINGSTREE",
"state": "SC",
"postal_code": "295563924",
"telephone_number": "843-355-9113",
"fax_number": "843-355-9389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARRATT",
"first_name": "SYLVESTER",
"name_prefix": "Mr.",
"credential": "CAC II",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-20",
"last_updated": "2013-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "SC",
"license": "12122114",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AD29WL",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingstree, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.