Active NPI
Sarah Kaye Heincelman, M.D.
- Family Medicine Physician
- Moncks Corner, SC
National Provider Identifier
1023339801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- LL32855
- Practice address
- 2061 Highway 52
Moncks Corner, SC 29461-5017 - Phone
- (843) 761-8800
- Fax
- (843) 761-8824
- NPI assigned
- Jun 16, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | LL32855 | SC | Primary |
Addresses
Primary practice location
2061 Highway 52
Moncks Corner, SC 29461-5017
Mailing address
2061 Highway 52
Moncks Corner, SC 29461-5017
Phone (843) 761-8800
Other names 1
- Sarah Kaye Edwards
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2061 Hwy 52
Moncks Corner, SC 29461-5017
Phone 84376188002262
Hospital & facility affiliations
- Roper-St. Francis Home Health
- Roper St Francis Hospital-Berkeley Inc
- Trident Medical Center
- Roper Hospital
- Bon Secours-St Francis Xavier Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL32855 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkeley Family Practice LLC | Family Medicine | Current | Accepting new patients |
Locations
2061 Highway 52
Moncks Corner, SC 29461
Phone (843) 761-4622
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JICEAA
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Moncks Corner, SC
- NPI 1962420927
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1851361778
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1962472860
-
- Home Health Agency
- Ladson, SC
- NPI 1619947140
-
- General Acute Care Hospital
- Summerville, SC
- NPI 1336603646
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1366496937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374710400000",
"number": "1023339801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2061 HIGHWAY 52",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294615017",
"telephone_number": "843-761-8800",
"fax_number": "843-761-8824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2061 HIGHWAY 52",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294615017",
"telephone_number": "843-761-8800",
"fax_number": "843-761-8824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINCELMAN",
"first_name": "SARAH",
"middle_name": "KAYE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-16",
"last_updated": "2013-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "LL32855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "EDWARDS",
"middle_name": "KAYE",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Moncks Corner, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.