Individual provider Active NPI

Jeffrey D Sarata, DO

  • Emergency Medicine Physician
  • Columbia, SC
National Provider Identifier
1043418924
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101017255 Issued in MI
Practice address
3016 Longtown Commons Dr Ste 100
Columbia, SC 29229-7862
Phone
(803) 314-0500
NPI assigned
Jul 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101017255 MI Primary

Addresses

Primary practice location

3016 Longtown Commons Dr Ste 100
Columbia, SC 29229-7862

Mailing address

1215 E Michigan Ave
Lansing, MI 48912-1811

Other practice location 1

1215 E Michigan Ave
Lansing, MI 48912-1811
Phone (517) 364-1000

Other practice location 2

2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 791-2350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, SC, GA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20101203000834 MI Practitioner - Emergency Medicine 4183811060 Reassigns benefits to 1 organization
I20151120002626 SC Practitioner - Emergency Medicine 4183811060 Reassigns benefits to 5 organizations
I20160825002694 GA Practitioner - Emergency Medicine 4183811060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acs Primary Care Physicians - Southeast PCGroup PAC ID 5193620714, 409 clinicians
Sound Physicians Emergency Medicine of South Carolina LLCGroup PAC ID 2163702739, 48 clinicians

Practice addresses (Care Compare)

1000 Medical Ctr Dr
Hardeeville, SC 29927-3446
Phone (843) 784-8138

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 553-2200

Hospital & facility affiliations

  • Fairview Park Hospital Hospital, Dublin, GA, CCN 110125
  • Aiken Regional Medical Center Hospital, Aiken, SC, CCN 420082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101017255MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Jul 31, 2019 Accepting new patients
Hilton Head Emergency Physicians, Inc. Emergency Medicine CurrentSince Nov 27, 2023 Accepting new patients
Lexington Health Inc CurrentSince Dec 15, 2022 Accepting new patients
Hilton Head Emergency Physicians, LLC Emergency Medicine CurrentSince Nov 27, 2023 Accepting new patients
Ecs Central Michigan PC Emergency Medicine CurrentSince Dec 25, 2019 Accepting new patients
Sound Physicians Emergency Medicine of South Carolina LLC Emergency Medicine CurrentSince Jun 1, 2019 Accepting new patients
Prisma Health-Midlands Emergency Medicine CurrentSince Nov 1, 2015 Accepting new patients
Lexington Health Inc CurrentSince Dec 15, 2022 Accepting new patients
Lexington Health Inc Current Accepting new patients
Prisma Health-Midlands Current Accepting new patients

Locations

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

1330 Taylor St
Ste 100
Columbia, SC 29201
Phone (803) 434-6410

400 Palmetto Health Pkwy
Columbia, SC 29212
Phone (803) 296-5579

3016 Longtown Commons Dr
Ste 100
Columbia, SC 29229
Phone (803) 314-0500

1330 Taylor St
Columbia, SC 29201
Phone (803) 296-5137

1000 Medical Center Dr
Hardeeville, SC 29927
Phone (843) 784-8138

25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480

Organizations & group practices 10

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.

Hospital & facility affiliations 4

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1043418924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 LONGTOWN COMMONS DR STE 100",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297862",
            "telephone_number": "803-314-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489121811",
            "country_code": "US",
            "telephone_number": "517-364-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2720 Sunset Blvd",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291694810",
            "country_code": "US",
            "telephone_number": "803-791-2350",
            "fax_number": "803-791-2520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARATA",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101017255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.