Individual provider Active NPI

Sharon Delois Coggin, PA-C

  • Medical Physician Assistant
  • Easley, SC
National Provider Identifier
1376584524
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
101057 Issued in NC
Practice address
115 Brushy Creek Rd
Easley, SC 29642-1120
Phone
(864) 546-4497
Fax
(864) 546-4506
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 101057 NC Primary
Physician Assistant 363A00000X 101057 NC

Addresses

Primary practice location

115 Brushy Creek Rd
Easley, SC 29642-1120

Mailing address

PO Box 484
Easley, SC 29641-0484
Phone (864) 546-4497

Other identifiers 4

IdentifierTypeStateIssuer
1669897724MedicaidNC
NCG210COtherNCMEDICARE PTAN
0543PAMedicaidSC
NCG210DOtherNCMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040612000695 NC Practitioner - Physician Assistant 4981687555 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wake Forest University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Pain Solutions PLLCGroup PAC ID 3678527181, 24 clinicians

Practice addresses (Care Compare)

515 Lauchwood Dr
Laurinburg, NC 28352-5502
Phone (910) 277-2999

695 S Bennett St
Southern Pines, NC 28387-5919
Phone (910) 687-4888

704 Progress PL
Suite a
Laurinburg, NC 28352-5545
Phone (910) 277-2999

Hospital & facility affiliations

  • Scotland Memorial Hospital Hospital, Laurinburg, NC, CCN 340008

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Pain Solutions PLLC CurrentSince Sep 9, 2018 Accepting new patients
Scotland Regional Health Network CurrentSince Dec 7, 2013 Accepting new patients
Integrated Pain Solutions PLLC CurrentSince Sep 9, 2018 Accepting new patients
Zen Psychiatric Services PLLC PastSince Jun 1, 2024 Accepting new patients
Pinehurst Cardiology Consultants PLLC Past Accepting new patients

Locations

704 Progress Pl
#A
Laurinburg, NC 28352
Phone (910) 277-2999

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

695 S Bennett St
Southern Pnes, NC 28387
Phone (910) 687-6187

Organizations & group practices 6

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1376584524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 484",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296410484",
            "telephone_number": "864-546-4497",
            "fax_number": "864-546-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BRUSHY CREEK RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296421120",
            "telephone_number": "864-546-4497",
            "fax_number": "864-546-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGGIN",
        "first_name": "SHARON",
        "middle_name": "DELOIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "101057",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101057",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669897724",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NCG210C",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0543PA",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NCG210D",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

Verify at the official NPI Registry.