David Theron Sauls, MD
Individual provider Active NPI Internal Medicine Physician · Seneca, SC
NPI 1124123740 · NPPES record last updated Aug 24, 2021
Key facts
- NPI
- 1124123740
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 86485 (SC)
- Practice address
- 109 Carter Park Dr Ste 3a
Seneca, SC 29678-1152 - Phone
- (864) 885-0058
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA, SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040623001336 | GA | Practitioner - Emergency Medicine | 8729063615 | Reassigns benefits to 4 organizations |
| I20220816000718 | SC | Practitioner - Emergency Medicine |
8729063615 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026644 | GA | MD | Emergency Medicine Physician |
| 26644 | GA | MD | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephens County Hospital Authority | Current |
Accepting new patients | |
| Hartwell Emergency Physicians LLC | Emergency Medicine | Current |
Accepting new patients |
| Stephens County Pathology Associates LLC | Current | Accepting new patients | |
| Acs Primary Care Physicians - Southeast PC | Emergency Medicine | Current |
Accepting new patients |
| Hartwell Emergency Physicians LLC | Emergency Medicine | Current |
Accepting new patients |
| Stephens County Hospital Authority | Current |
Accepting new patients | |
| Covenant Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Keowee Primary Care & Internal Medicine PC | Internal Medicine | Current |
Accepting new patients |
| Medi Urgent Care Center Inc | Past |
Accepting new patients | |
| BJC Medical Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| United Emergency Services, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000
138 W Gibson St
Hartwell, GA 30643
Phone (702) 223-3333
2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792
163 Hospital Dr
Toccoa, GA 30577
Phone (706) 282-4200
109 Carter Park Dr
#3A
Seneca, SC 29678
Phone (864) 885-0058
109 Carter Park Dr
Ste 3A
Seneca, SC 29678
Phone (864) 882-1420
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 026644 | GA | |
| Obstetrics & Gynecology Physician | 207V00000X | 26644 | GA | |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | 26644 | GA | |
| Internal Medicine Physician | 207R00000X | 86485 | SC | Yes |
Addresses
Primary practice location
109 Carter Park Dr Ste 3a
Seneca, SC 29678-1152
Mailing address
109 Carter Park Dr Ste 3a
Seneca, SC 29678-1152
Phone (864) 885-0058
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000304059G | Medicaid | GA |
Other providers in Seneca, SC
- Henry H Salzarulo
- Sandcastles Speech and Language LLC
- Timothy Joseph Sanders
- Sandra Stone Campbell, LPC LLC
- Kayla McManus Sasser
- Kevin Richard Saunders
- Grace Moxley Saxon
- SC Anesthesia, P.C.
- Johanna Marie Scarino Lemons
- Kelly Lynn Schickling
All providers in Seneca, SC · Internal Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.