Individual provider Active NPI

Beth Sanders, FNP

  • Family Nurse Practitioner
  • Leesville, SC
National Provider Identifier
1609640416
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28128 Issued in SC
Practice address
338 E Columbia Ave
Leesville, SC 29070-9285
Phone
(803) 532-1580
NPI assigned
Nov 13, 2023
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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 28128 SC Primary

Addresses

Primary practice location

338 E Columbia Ave
Leesville, SC 29070-9285

Mailing address

338 E Columbia Ave
Leesville, SC 29070-9285
Phone (803) 532-1580

Other practice location 1

131 Harbison Blvd Ste A
Columbia, SC 29212-2226
Phone (803) 485-1400

Other practice location 2

176 McSwain Dr
West Columbia, SC 29169-4825
Phone (843) 797-3636

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
I20240124001402 SC Practitioner - Nurse Practitioner 2163875378 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trident Pain Center LLCGroup PAC ID 7911897269, 18 clinicians

Practice addresses (Care Compare)

176 McSwain Dr
West Columbia, SC 29169-4825
Phone (843) 797-3636

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eau Claire Cooperative Health Center, Inc. CurrentSince Nov 13, 2023 Accepting new patients
Eau Claire Cooperative Health Center ,Inc. CurrentSince Nov 13, 2023 Accepting new patients
Prisma Health Urgent Care of South Carolina, PC CurrentSince Sep 1, 2025 Accepting new patients
Impact Physician Group, South Carolina LLC Family Past Accepting new patients

Locations

131 Harbison Blvd
Ste A
Columbia, SC 29212
Phone (803) 485-1400

169 Laurelhurst Ave
Columbia, SC 29210
Phone (803) 730-0742

4605 Monticello Rd
Columbia, SC 29203
Phone (803) 252-7001

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

338 E Columbia Ave
#B
Leesville, SC 29070
Phone (803) 532-1580

Interoperability endpoints

  • Direct secure messaging: beth.sanders.1@29045.direct.athenahealth.com
  • Direct secure messaging: bsanders873746@direct.ghs.myhfn.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1609640416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 E COLUMBIA AVE",
            "city": "LEESVILLE",
            "state": "SC",
            "postal_code": "290709285",
            "telephone_number": "803-532-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 E COLUMBIA AVE",
            "city": "LEESVILLE",
            "state": "SC",
            "postal_code": "290709285",
            "telephone_number": "803-532-1580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Harbison Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292122226",
            "country_code": "US",
            "telephone_number": "803-485-1400",
            "fax_number": "803-485-1405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "176 McSwain Dr",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291694825",
            "country_code": "US",
            "telephone_number": "843-797-3636",
            "fax_number": "843-797-3637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "BETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "28128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesville, SC

Sources for this page

Verify at the official NPI Registry.