Active NPI
Patricia Siefferman, NP-C
- Family Nurse Practitioner
- Abbeville, SC
National Provider Identifier
1093709453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 17559
- Practice address
- 901 W Greenwood St
Suite 5
Abbeville, SC 29620-5717 - Phone
- (864) 366-9938
- Fax
- (864) 366-0818
- NPI assigned
- Aug 31, 2005
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 27377 | GA | |
| Family Nurse Practitioner | 363LF0000X | 17559 | SC | Primary |
Addresses
Primary practice location
901 W Greenwood St
Suite 5
Abbeville, SC 29620-5717
Mailing address
12192 Augusta Rd
12192 Augusta Road
Lavonia, GA 30553-1209
Phone (706) 356-1072
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000733048IJK | Medicaid | GA |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27377 | GA | MD | Pediatrics Physician |
| 027377 | GA | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens Family Medicine LLC | Current | Accepting new patients |
Locations
892 Prince Ave
Athens, GA 30606
Phone (706) 227-2027
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Athens, GA
- NPI 1427418391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322611200000",
"number": "1093709453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12192 AUGUSTA RD",
"address_2": "12192 AUGUSTA ROAD",
"city": "LAVONIA",
"state": "GA",
"postal_code": "305531209",
"telephone_number": "706-356-1072",
"fax_number": "706-356-1457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W GREENWOOD ST",
"address_2": "SUITE 5",
"city": "ABBEVILLE",
"state": "SC",
"postal_code": "296205717",
"telephone_number": "864-366-9938",
"fax_number": "864-366-0818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEFFERMAN",
"first_name": "PATRICIA",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-31",
"last_updated": "2011-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "27377",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "17559",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000733048IJK",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abbeville, SC
- Brandon Everett Scott, FNP
- Keith A Scott, MD
- Bridgett Heather Seagroves, M.D.
- Self Regional Healthcare (Lakelands Nursing and Rehabilitation Center)
- Judy Seymour
- South Carolina CVS Pharmacy LLC (CVS Pharmacy #03543)
- Mary R. Stackhouse, R.N.
- State of South Carolina (SC Dhec)
- Pamela Sullivan, PHARMD
- Kayla Peterson Tavernier
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.