Individual provider Active NPI

David Theron Sauls, MD

  • Internal Medicine Physician
  • Seneca, SC
National Provider Identifier
1124123740
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
86485 Issued in SC
Practice address
109 Carter Park Dr Ste 3a
Seneca, SC 29678-1152
Phone
(864) 885-0058
NPI assigned
Sep 14, 2006
Last updated
Aug 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040623001336 GA Practitioner - Emergency Medicine 8729063615 Reassigns benefits to 4 organizations
I20220816000718 SC Practitioner - Emergency MedicinePractitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 8729063615 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
026644GAMDEmergency Medicine Physician
26644GAMDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephens County Hospital Authority CurrentSince Sep 18, 2012 Accepting new patients
Covenant Emergency Physicians LLC Emergency Medicine Current Accepting new patients
Stephens County Pathology Associates LLC Current Accepting new patients
Hartwell Emergency Physicians LLC Emergency Medicine CurrentSince Sep 1, 2013 Accepting new patients
Keowee Primary Care & Internal Medicine PC Internal Medicine CurrentSince May 4, 2022 Accepting new patients
Stephens County Hospital Authority CurrentSince Sep 18, 2012 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Apr 8, 2020 Accepting new patients
Hartwell Emergency Physicians LLC Emergency Medicine CurrentSince Sep 1, 2013 Accepting new patients
BJC Medical Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Medi Urgent Care Center Inc PastSince Aug 29, 2021 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

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1124123740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CARTER PARK DR STE 3A",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781152",
            "telephone_number": "864-885-0058",
            "fax_number": "864-885-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CARTER PARK DR STE 3A",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781152",
            "telephone_number": "864-885-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAULS",
        "first_name": "DAVID",
        "middle_name": "THERON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "026644",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "26644",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "GA",
            "license": "26644",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "86485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

Verify at the official NPI Registry.