Active NPI
Sharon Delois Coggin, PA-C
- Medical Physician Assistant
- Easley, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 101057
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669897724 | Medicaid | NC | |
| NCG210C | Other | NC | MEDICARE PTAN |
| 0543PA | Medicaid | SC | |
| NCG210D | Other | NC | MEDICARE 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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Pain Solutions PLLC | Current | Accepting new patients | |
| Scotland Regional Health Network | Current | Accepting new patients | |
| Integrated Pain Solutions PLLC | Current | Accepting new patients | |
| Zen Psychiatric Services PLLC | Past | 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.
-
- Interventional Pain Medicine Physician
- Southern Pines, NC
- NPI 1790728921
-
- Hospitalist Physician
- Laurinburg, NC
- NPI 1972829562
-
- Interventional Pain Medicine Physician
- Asheboro, NC
- NPI 1114766102
-
- Surgical Critical Care Physician
- Laurinburg, NC
- NPI 1164726105
-
- Cardiovascular Disease Physician
- Pinehurst, NC
- NPI 1245284710
-
- Psychiatry Physician
- Morganton, NC
- NPI 1023643384
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Laurinburg, NC
- NPI 1457345597
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.