Individual provider Active NPI

Richard Lawrence Sherman, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Greenville, SC
National Provider Identifier
1629050794
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
0334 Issued in SC
Practice address
3523 Pelham Rd
Suite C
Greenville, SC 29615-4191
Phone
(864) 306-0966
Fax
(864) 306-2544
NPI assigned
Nov 15, 2005
Last updated
Dec 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 0334 SC
Geriatric Medicine (Family Medicine) Physician 207QG0300X 0334 SC Primary

Addresses

Primary practice location

3523 Pelham Rd
Suite C
Greenville, SC 29615-4191

Mailing address

PO Box 14611
Greenville, SC 29610-4611
Phone (864) 306-0966

Other identifiers 1

IdentifierTypeStateIssuer
003445MedicaidSC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100610000824 SC Practitioner - Geriatric MedicinePractitioner - General PracticePractitioner - Family PracticePractitioner - Addiction MedicinePractitioner - Other (Physician) 8022089119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.74 of 100Reported as group
Quality
83.33
Improvement activities
40
Cost
51.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0334SCMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Treatment Center of Tennessee LLC Current Accepting new patients
Ketamine Solutions, LLC CurrentSince Sep 19, 2023 Accepting new patients
Southwest Carolina Treatment Center, LLC PastSince Nov 26, 2023 Accepting new patients
Palmetto Carolina Treatment Center, LLC PastSince Sep 3, 2013 Accepting new patients

Locations

138 Milestone Way
Ste A
Greenville, SC 29615
Phone (864) 236-1630

3523 Pelham Rd
Ste C
Greenville, SC 29615
Phone (864) 306-0966

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
NHC Healthcare, GreenvilleGreer, SC, CCN 425322 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2025
Jan 1, 2015
NHC Healthcare, GreenwoodGreenwood, SC, CCN 425063 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 8, 2024
Apr 14, 2025
NHC Healthcare, CookevilleGreenville, SC, CCN 425359 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 17, 2020
Apr 14, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1629050794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14611",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296104611",
            "telephone_number": "864-306-0966",
            "fax_number": "864-306-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3523 PELHAM RD",
            "address_2": "SUITE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154191",
            "telephone_number": "864-306-0966",
            "fax_number": "864-306-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "RICHARD",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "SC",
            "license": "0334",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "SC",
            "license": "0334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003445",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.