Active NPI
Sabrina Noelle Archibald, DO
- Pediatrics Physician
- Greer, SC
National Provider Identifier
1053992172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- DO83625
- Practice address
- 145 E Poinsett St
Greer, SC 29651-3405 - Phone
- (864) 272-0388
- NPI assigned
- Apr 20, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | DO83625 | SC | Primary |
Addresses
Primary practice location
145 E Poinsett St
Greer, SC 29651-3405
Mailing address
PO Box 936934
Atlanta, GA 31193-6934
Other names 1
- Sabrina Noelle Gerlich
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.musc.edu | Health Information Exchange (HIE) |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240910000899 | SC | Practitioner - Pediatric Medicine | 5496151987 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO83625 | SC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musc Affiliate Physicians | Current | Accepting new patients | |
| Musc Affiliate Physicians | Pediatrics | Current | Accepting new patients |
| University Medical Associates | Past | Accepting new patients |
Locations
9 Hawthorne Park Ct
Greenville, SC 29615
Phone (864) 286-1040
145 E Poinsett St
Greer, SC 29651
Phone 86460356003222
2 Hatcher Creek St
Simpsonville, SC 29680
Interoperability endpoints
- sarchibald355058@direct.musc.edu
Organizations & group practices 3
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.
-
- Pediatric Allergy/Immunology Physician
- Charleston, SC
- NPI 1902323504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1053992172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936934",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311936934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 E POINSETT ST",
"city": "GREER",
"state": "SC",
"postal_code": "296513405",
"telephone_number": "864-272-0388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCHIBALD",
"first_name": "SABRINA",
"middle_name": "NOELLE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-20",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "DO83625",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.musc.edu",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "145 E Poinsett St",
"city": "Greer",
"state": "SC",
"country_code": "US",
"postal_code": "296513405",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SABRINA",
"last_name": "GERLICH",
"middle_name": "NOELLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greer, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.