Individual provider Active NPI

Jerita Sarana Sherard, NP

  • Family Nurse Practitioner
  • Anderson, SC
National Provider Identifier
1407449069
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24442 Issued in SC
Practice address
3322 N Main St
Anderson, SC 29621-4108
Phone
(864) 715-3309
Fax
(864) 715-3312
NPI assigned
Feb 15, 2021
Last updated
Dec 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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 24442 SC Primary

Addresses

Primary practice location

3322 N Main St
Anderson, SC 29621-4108

Mailing address

1319 Agnew Rd
Starr, SC 29684-9055
Phone (864) 276-2890

Other practice location 1

1319 Agnew Rd
Starr, SC 29684-9055
Phone (864) 276-2890

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
I20210514001582 SC Practitioner - Nurse Practitioner 6002225463 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Urgent Care of South Carolina PCGroup PAC ID 1254703788, 158 clinicians
24 On Physicians PCGroup PAC ID 5698688141, 274 clinicians

Practice addresses (Care Compare)

1305 S Suber Rd
Greer, SC 29650-0944
Phone (864) 989-4609

3322 N Main St
Anderson, SC 29621-4108
Phone (864) 715-3309

718 Fairview Rd
Simpsonville, SC 29680-7117
Phone (864) 794-6555

800 N Fant St
Anderson, SC 29621-5708
Phone (770) 740-0895

955 Ribaut Rd
Beaufort, SC 29902-5441
Phone (843) 522-5005

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24442SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ich ER Services, LLC CurrentSince May 1, 2021 Accepting new patients
24 On Physicians, PC CurrentSince Aug 1, 2021 Accepting new patients
Pelzer Urgent Care LLC CurrentSince Aug 1, 2023 Accepting new patients
24 On Physicians, P.C. CurrentSince Aug 1, 2021 Accepting new patients
Prisma Health Urgent Care of South Carolina, PC CurrentSince Jan 15, 2024 Accepting new patients
SC Urgent Care LLC CurrentSince Sep 8, 2022 Accepting new patients

Locations

3322 N Main St
Anderson, SC 29621
Phone (864) 349-2900

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

807 S Pendleton St
Easley, SC 29640
Phone (864) 307-9212

1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609

323 Lebby St
Pelzer, SC 29669
Phone (864) 847-2044

Interoperability endpoints

  • Direct secure messaging: jadger11825@direct.anmedhealth.net
  • Direct secure messaging: jsherard744257@direct.ghs.myhfn.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1407449069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 AGNEW RD",
            "city": "STARR",
            "state": "SC",
            "postal_code": "296849055",
            "telephone_number": "864-276-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 N MAIN ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214108",
            "telephone_number": "864-715-3309",
            "fax_number": "864-715-3312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1319 Agnew Rd",
            "address_purpose": "LOCATION",
            "city": "Starr",
            "state": "SC",
            "postal_code": "296849055",
            "country_code": "US",
            "telephone_number": "864-276-2890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERARD",
        "first_name": "JERITA",
        "middle_name": "SARANA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-15",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.