Individual provider Active NPI

Sherrlyn McFadden, NP

  • Family Nurse Practitioner
  • Olanta, SC
National Provider Identifier
1154789220
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19910 Issued in SC
Practice address
211 S Jones Rd
Olanta, SC 29114-9705
Phone
(843) 393-7452
Fax
(843) 396-9735
NPI assigned
Feb 4, 2016
Last updated
May 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19910 SC Primary

Addresses

Primary practice location

211 S Jones Rd
Olanta, SC 29114-9705

Mailing address

211 S Jones Rd
Olanta, SC 29114-9705
Phone (843) 393-7452

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160330002254 SC Practitioner - Nurse Practitioner 7315244738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical University of South Carolina College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Healthcare, IncGroup PAC ID 4688869696, 33 clinicians

Practice addresses (Care Compare)

201 Cashua St
Darlington, SC 29532-3301
Phone (843) 393-7452

211 S Jones Rd
Olanta, SC 29114-9705
Phone (843) 396-9730

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
19910SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Healthcare, Inc. CurrentSince Feb 1, 2016 Accepting new patients
Genesis Healthcare, Inc. CurrentSince Feb 1, 2016 Accepting new patients
Genesis Healthcare, Inc. Past Accepting new patients

Locations

3400 West Ave
Columbia, SC 29203
Phone (803) 799-1700

115 Exchange St
Darlington, SC 29532
Phone (803) 254-3676

201 Cashua St
Darlington, SC 29532
Phone (843) 383-7452

201 Cashua St
#B
Darlington, SC 29532
Phone (843) 393-7452

1523 Heritage Ln
Florence, SC 29505
Phone (843) 673-0900

211 S Jones Rd
Olanta, SC 29114
Phone (843) 396-9723

457 Spruce St
Walterboro, SC 29488
Phone (843) 584-4353

Interoperability endpoints

  • Direct secure messaging: sherrlyn.mcfadden.1@20108.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1154789220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S JONES RD",
            "city": "OLANTA",
            "state": "SC",
            "postal_code": "291149705",
            "telephone_number": "843-393-7452",
            "fax_number": "843-396-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S JONES RD",
            "city": "OLANTA",
            "state": "SC",
            "postal_code": "291149705",
            "telephone_number": "843-393-7452",
            "fax_number": "843-396-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFADDEN",
        "first_name": "SHERRLYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olanta, SC

Sources for this page

Verify at the official NPI Registry.