Individual provider Active NPI

Marilou Gericka Sanders, NP

  • Nurse Practitioner
  • Union, SC
National Provider Identifier
1295546141
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
29745 Issued in SC
Practice address
440 N Duncan Byp
Union, SC 29379-8604
Phone
(864) 424-9576
NPI assigned
Jan 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 29745 SC Primary

Addresses

Primary practice location

440 N Duncan Byp
Union, SC 29379-8604

Mailing address

102 Riglaw LN
Greenville, SC 29605-5988
Phone (813) 361-4877

Other names 1

  • Ms. Marilou G Rogers Former name

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
I20250403003873 SC Practitioner - Nurse Practitioner 4688198369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
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

Hospital & facility affiliations

  • Union Medical Center Hospital, Union, SC, CCN 420108

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lowcountry Urgent Care LLC Single Specialty CurrentSince Jan 28, 2025 Accepting new patients

Locations

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

440 N Duncan Byp
Union, SC 29379
Phone (864) 424-9576

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1295546141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 RIGLAW LN",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296055988",
            "telephone_number": "813-361-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N DUNCAN BYP",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293798604",
            "telephone_number": "864-424-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "MARILOU",
        "middle_name": "GERICKA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "29745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILOU",
            "last_name": "ROGERS",
            "middle_name": "G",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Union, SC

Sources for this page

Verify at the official NPI Registry.