Individual provider Active NPI

Summer Mayson Cantrell, FNP

  • Family Nurse Practitioner
  • Saluda, SC
National Provider Identifier
1467917047
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22566 Issued in SC
Practice address
102 R L Sawyer MD Dr
Saluda, SC 29138-9199
Phone
(864) 445-2173
Fax
(864) 445-6764
NPI assigned
Feb 7, 2019
Last updated
Jun 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN284105 GA
Family Nurse Practitioner 363LF0000X 22566 SC Primary

Addresses

Primary practice location

102 R L Sawyer MD Dr
Saluda, SC 29138-9199

Mailing address

102 R L Sawyer MD Dr
Saluda, SC 29138-9199
Phone (864) 445-2173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190402002919 GA Practitioner - Nurse Practitioner 6507107422 Reassigns benefits to 1 organization
I20190701001388 SC Practitioner - Nurse Practitioner 6507107422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Self Regional HealthcareGroup PAC ID 4082527742, 159 clinicians
Self Medical GroupGroup PAC ID 6002953916, 393 clinicians

Practice addresses (Care Compare)

102 R L Sawyer MD Dr
Saluda, SC 29138-9199
Phone (864) 445-2173

115 Academy Ave
Greenwood, SC 29646-3869
Phone (864) 725-7272

155 Academy Ave
Greenwood, SC 29646-3869
Phone (864) 725-4865

298 Commerce Dr
Newberry, SC 29108-2953
Phone (803) 321-3232

3165 Newberry Hwy
Saluda, SC 29138
Phone (864) 445-2500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Associates Inc CurrentSince Mar 1, 2019 Accepting new patients
Self Regional Healthcare CurrentSince Sep 24, 2025 Accepting new patients
Self Regional Healthcare Current Accepting new patients
Self Medical Group CurrentSince Jun 24, 2019 Accepting new patients
Self Regional Healthcare CurrentSince Sep 24, 2025 Accepting new patients
Au Medical Associates Inc CurrentSince Mar 1, 2019 Accepting new patients
Self Medical Group CurrentSince Jun 24, 2019 Accepting new patients
Self Regional Healthcare Past Accepting new patients
Ashwins, LLC Past Accepting new patients
Self Medical Group PastSince May 7, 2024 Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1120 15th St
#2226
Augusta, GA 30912
Phone (706) 446-4887

1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785

75 Remittance Dr
Dept 6764
Chicago, IL 60675

75 Remittance Dr
Dept 6793
Chicago, IL 60675

155 Academy Ave
Greenwood, SC 29646
Phone (864) 725-4865

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

102 R L Sawyer Md Dr
Saluda, SC 29138
Phone (864) 445-2173

Organizations & group practices 10

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 7

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": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1467917047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 R L SAWYER MD DR",
            "city": "SALUDA",
            "state": "SC",
            "postal_code": "291389199",
            "telephone_number": "864-445-2173",
            "fax_number": "864-445-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 R L SAWYER MD DR",
            "city": "SALUDA",
            "state": "SC",
            "postal_code": "291389199",
            "telephone_number": "864-445-2173",
            "fax_number": "864-445-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "SUMMER",
        "middle_name": "MAYSON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN284105",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saluda, SC

Sources for this page

Verify at the official NPI Registry.