Individual provider Active NPI

Sylvester Sarratt, CAC II

  • Addiction (Substance Use Disorder) Counselor
  • Kingstree, SC
National Provider Identifier
1013353820
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
12122114 Issued in SC
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AD29WLMedicaidSC

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

LicenseStateTypeSpecialty
12122114SCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.