Individual provider Active NPI

Sarah K McLauchlin, PA-C, MPAS

  • Physician Assistant
  • St. Matthews, SC
National Provider Identifier
1679796254
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1075 Issued in SC
Practice address
725 Harry C. Raysor Dr.
St. Matthews, SC 29135
Phone
(803) 874-3902
Fax
(803) 874-3905
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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 1075OTO SC
Physician Assistant 363A00000X 1075 SC Primary

Addresses

Primary practice location

725 Harry C. Raysor Dr.
St. Matthews, SC 29135

Mailing address

1893 Saint Matthews Rd
Orangeburg, SC 29118-2403
Phone (803) 395-4497

Other identifiers 1

IdentifierTypeStateIssuer
GP0753MedicaidSC

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
I20210222000260 SC Order and Referring Only - Physician Assistant 1456423698

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1075SCMDPsychologist
1075OTOSCMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1679796254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1893 SAINT MATTHEWS RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182403",
            "telephone_number": "803-395-4497",
            "fax_number": "803-536-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 HARRY C. RAYSOR DR.",
            "city": "ST. MATTHEWS",
            "state": "SC",
            "postal_code": "29135",
            "telephone_number": "803-874-3902",
            "fax_number": "803-874-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAUCHLIN",
        "first_name": "SARAH",
        "middle_name": "K",
        "credential": "PA-C, MPAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "1075OTO",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "1075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0753",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Matthews, SC

Sources for this page

Verify at the official NPI Registry.