Individual provider Active NPI

Sarah Marie Ferrese, PA

  • Medical Physician Assistant
  • Charleston, SC
National Provider Identifier
1497191175
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3056 Issued in SC
Practice address
235 Calhoun St
Charleston, SC 29401-1306
Phone
(843) 853-8870
NPI assigned
May 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA056065 PA
Medical Physician Assistant 363AM0700X 3056 SC Primary

Addresses

Primary practice location

235 Calhoun St
Charleston, SC 29401-1306

Mailing address

1779 N Mayflower Dr
Charleston, SC 29412-3927
Phone (724) 496-9632

Other practice location 1

50 Freeport Rd Ste 55
Aspinwall, PA 15215-2976
Phone (412) 782-3278

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
I20220111001375 SC Practitioner - Physician Assistant 7618110230 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3056SCMDPsychiatric/Mental Health Registered Nurse
MA056065PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Doctors LLC CurrentSince Jan 25, 2022 Accepting new patients
Liberty Doctors, LLC CurrentSince Jan 25, 2022 Accepting new patients

Locations

418 Folly Rd
#A
Charleston, SC 29412
Phone (843) 225-8320

110 Executive Pkwy
Moncks Corner, SC 29461
Phone (843) 899-9099

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1497191175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1779 N MAYFLOWER DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294123927",
            "telephone_number": "724-496-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 CALHOUN ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011306",
            "telephone_number": "843-853-8870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Freeport Rd Ste 55",
            "address_purpose": "LOCATION",
            "city": "Aspinwall",
            "state": "PA",
            "postal_code": "152152976",
            "country_code": "US",
            "telephone_number": "412-782-3278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRESE",
        "first_name": "SARAH",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056065",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "3056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.