Active NPI
Elizabeth Anne Sorg
- Family Nurse Practitioner
- Hartsville, SC
National Provider Identifier
1144560111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 18188
- Practice address
- 1268 S 4TH St
Hartsville, SC 29550-0703 - Phone
- (843) 332-3422
- Fax
- (843) 332-3985
- NPI assigned
- Feb 27, 2013
- Last updated
- Oct 23, 2017
- 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 | 18188 | SC | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 18188 | SC |
Addresses
Primary practice location
1268 S 4TH St
Hartsville, SC 29550-0703
Mailing address
PO Box 1090
Hartsville, SC 29551-1090
Phone (843) 857-0111
Other names 1
- Elizabeth Anne Sorg
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18188 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Regional Medical Center of the Pee Dee, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients |
Locations
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
Organizations & group practices 2
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.
-
dba Cbo MRMC Emergency
- Emergency Medical Services (Emergency Medicine) Physician
- Florence, SC
- NPI 1154371433
Nurse Anesthetist, Certified Registered
-
dba McLeod Outpatient Pharmacy
- Community/Retail Pharmacy
- Florence, SC
- NPI 1871775841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508716800000",
"number": "1144560111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1090",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295511090",
"telephone_number": "843-857-0111",
"fax_number": "843-857-0206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1268 S 4TH ST",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295500703",
"telephone_number": "843-332-3422",
"fax_number": "843-332-3985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORG",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-27",
"last_updated": "2017-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "18188",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "18188",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "SORG",
"middle_name": "ANNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hartsville, SC
- Peter B Smith, MD
- Priscilla Elisabeth Smith, OTR/L
- SNH SC Tenant LLC (Morningside of Hartsville)
- Brenda Solomon
- Sonoco Health Connection
- South Carolina CVS Pharmacy LLC (CVS Pharmacy #03821)
- South Carolina Em-I Medical
- South Carolina Heart Center PA
- Southern Comfort Health and Wellness, LLC
- Nicole Christine Spencer
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.