Individual provider Active NPI

Sandra Stephens, MD

  • Pediatrics Physician
  • Orangeburg, SC
National Provider Identifier
1093738676
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
16257 Issued in SC
Practice address
3310 Magnolia St
Orangeburg, SC 29115-1466
Phone
(803) 531-6900
Fax
(803) 531-6907
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 16257 SC Primary

Addresses

Primary practice location

3310 Magnolia St
Orangeburg, SC 29115-1466

Mailing address

3310 Magnolia St
Orangeburg, SC 29115-1466
Phone (803) 531-6900

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080125000010 SC Practitioner - Pediatric Medicine 9133213317 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16257SCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Services, Inc CurrentSince Feb 28, 2018 Accepting new patients
Family Health Centers, Inc CurrentSince May 1, 2008 Accepting new patients
Family Health Centers, Inc CurrentSince May 1, 2008 Accepting new patients
Rural Health Services, Inc. CurrentSince Nov 10, 2024 Accepting new patients

Locations

995 Clyburn Pl
Aiken, SC 29801
Phone (803) 380-7000

1000 Clyburn Pl
Aiken, SC 29801
Phone (803) 380-7000

3310 Magnolia St
Orangeburg, SC 29115
Phone (803) 531-6900

Interoperability endpoints

  • Direct secure messaging: sandra.stephens.1@13265.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BFEFCD

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1093738676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 MAGNOLIA ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291151466",
            "telephone_number": "803-531-6900",
            "fax_number": "803-531-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 MAGNOLIA ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291151466",
            "telephone_number": "803-531-6900",
            "fax_number": "803-531-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "16257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

Verify at the official NPI Registry.