Sarina Brown
Individual provider Active NPI Family Nurse Practitioner · Greenville, SC
NPI 1619335353 · NPPES record last updated Mar 24, 2016
Key facts
- NPI
- 1619335353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 20007 (SC)
- Practice address
- 200 Patewood Dr
Suite 350
Greenville, SC 29615-3593 - Phone
- (864) 454-4500
- Fax
- (864) 454-4505
- NPI assigned
- Feb 9, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 45
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of South Carolina School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prisma Health University Medical Group
Practice addresses (Care Compare)
200 Patewood Dr
Suite B350
Greenville, SC 29615-6337
Phone (864) 454-4500
Hospital & facility affiliations
- Prisma Health Greenville Memorial Hospital
- St Francis-Downtown
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160323002636 | SC | Practitioner - Nurse Practitioner | 2961709670 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20007 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current |
Accepting new patients | |
| Prisma Health University Medical Group | Current |
Accepting new patients |
Locations
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030
100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600
200 Patewood Dr
Ste B350
Greenville, SC 29615
Phone (864) 454-4500
2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761
7 Independence Pt
Ste 100
Greenville, SC 29615
Phone (864) 797-6106
1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306
Interoperability endpoints
- sbrown35527@direct.ghs.myhfn.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 20007 | SC | Yes |
Addresses
Primary practice location
200 Patewood Dr
Suite 350
Greenville, SC 29615-3593
Mailing address
1 Independence PT
Suite 212
Greenville, SC 29615-4545
Phone (864) 797-6306
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP3726 | Medicaid | SC |
NPI Registry JSON
{
"created_epoch": "1454976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458777600000",
"number": "1619335353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 INDEPENDENCE PT",
"address_2": "SUITE 212",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154545",
"telephone_number": "864-797-6306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PATEWOOD DR",
"address_2": "SUITE 350",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153593",
"telephone_number": "864-454-4500",
"fax_number": "864-454-4505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "SARINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-09",
"last_updated": "2016-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "20007",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP3726",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
- Niki Jo Brown
- Phillip Hamblen Brown
- Rebecca Brown
- Robert Osborne Brown III
- Sabrea Brown
- Savanna Mian Brown
- Shelby R Brown
- Stephanie Leigh Brown
- Stephen Tyler Brown
- Susan Elizabeth Brown
All providers in Greenville, SC · Family Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.