Organization Active NPI

South Carolina Research Group LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Greer, SC
National Provider Identifier
1104101054
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
27855 Issued in SC
Legal business name
SOUTH CAROLINA RESEARCH GROUP LLC
Practice address
68 Parkway Commons Way
Greer, SC 29650-5213
Phone
(864) 877-5688
NPI assigned
Oct 11, 2011
Last updated
Oct 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Authorized official

Name
Dr. Sergio Alfredo Sanchez, M.D.NPI 1912948647
Title
Ceo
Phone
(864) 877-5688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084A0401X 27855 SC Primary

Addresses

Primary practice location

68 Parkway Commons Way
Greer, SC 29650-5213

Mailing address

68 Parkway Commons Way
Greer, SC 29650-5213
Phone (864) 877-5688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120831000207 SC Part B Supplier - Clinic/Group Practice 8921255696 Receives reassigned benefits from 1 practitioner
Practice locations: Greer, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2305112South Carolina Research Group68 Parkway Commons Way, Greer, SC 29650Certificate of waiverMay 23, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1104101054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 PARKWAY COMMONS WAY",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296505213",
            "telephone_number": "864-877-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 PARKWAY COMMONS WAY",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296505213",
            "telephone_number": "864-877-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA RESEARCH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "ALFREDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-877-5688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "SC",
            "license": "27855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.