Individual provider Active NPI

Sherry A Looman, PA

  • Physician Assistant
  • Summerville, SC
National Provider Identifier
1255387130
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2221 Issued in SC
Practice address
1114 N Main St
Summerville, SC 29483-7326
Phone
(843) 212-8070
Fax
(843) 212-8071
NPI assigned
May 25, 2006
Last updated
Oct 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2221 SC Primary

Addresses

Primary practice location

1114 N Main St
Summerville, SC 29483-7326

Mailing address

PO Box 751649
Charlotte, NC 28275-1649

Other practice location 1

2550 Elms Center Rd
North Charleston, SC 29406-9844
Phone (843) 302-8840

Other practice location 2

2270 Ashley Crossing Dr Ste 170
Charleston, SC 29414
Phone (843) 763-3700

Other identifiers 1

IdentifierTypeStateIssuer
2396PAMedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Sherry.Looman@rsfpp.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2221SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network CurrentSince Jan 7, 2019 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Oct 7, 2015 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Oct 7, 2015 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Jan 7, 2019 Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

2270 Ashley Crossing Dr
Ste 170
Charleston, SC 29414
Phone (843) 763-3700

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840

1114 N Main St
Summerville, SC 29483
Phone (843) 212-8034

Interoperability endpoints

  • Direct secure messaging: sherry.looman@rsfpp.eclinicaldirectplus.com

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, 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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1255387130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 N MAIN ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294837326",
            "telephone_number": "843-212-8070",
            "fax_number": "843-212-8071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 Elms Center Rd",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294069844",
            "country_code": "US",
            "telephone_number": "843-302-8840",
            "fax_number": "843-818-2188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2270 Ashley Crossing Dr Ste 170",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "29414",
            "country_code": "US",
            "telephone_number": "843-763-3700",
            "fax_number": "843-763-3714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOOMAN",
        "first_name": "SHERRY",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2396PA",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sherry.Looman@rsfpp.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Document and CCD Exchange",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patient Care Documents",
            "address_1": "2270 Ashley Crossing Dr Ste 170",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.