Individual provider Active NPI

Sarah Lisa Frierson, FNP

  • Family Nurse Practitioner
  • Lake City, SC
National Provider Identifier
1215166111
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
03898 Issued in SC
Practice address
1278 Moore St
Lake City, SC 29560-4601
Phone
(843) 389-7251
NPI assigned
Jul 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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 03898 SC Primary

Addresses

Primary practice location

1278 Moore St
Lake City, SC 29560-4601

Mailing address

1278 Moore St
Lake City, SC 29560-4601
Phone (843) 389-7251

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
I20190604003405 SC Practitioner - Nurse Practitioner 9133149321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lowcountry Urgent Care LLCGroup PAC ID 9739210337, 81 clinicians

Practice addresses (Care Compare)

182 C Sea Island Pkwy
Beaufort, SC 29907-1503
Phone (843) 322-1933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03898SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Panascope Inc. Current Accepting new patients
Lowcountry Urgent Care LLC CurrentSince Jan 15, 2022 Accepting new patients
Medical Consultants of Lake City LLC PastSince Mar 12, 2024 Accepting new patients
Graham Clinic Inc. PastSince Dec 18, 2011 Accepting new patients

Locations

182C Sea Island Pkwy
Beaufort, SC 29907
Phone (843) 322-1933

808 US 52 Hwy
Lake City, SC 29560
Phone (803) 272-0702

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Dr Ronal McNair Nursing and Rehabilitation CenterLake City, SC, CCN 425309 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF
Direct Ownership Interest (100%)
Sep 10, 2004
Oct 1, 2005
Oct 1, 2005
Oct 1, 2005
Oct 1, 2005
Oct 1, 2004

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1215166111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1278 MOORE ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295604601",
            "telephone_number": "843-389-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1278 MOORE ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295604601",
            "telephone_number": "843-389-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIERSON",
        "first_name": "SARAH",
        "middle_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "03898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, SC

Sources for this page

Verify at the official NPI Registry.