Sarah Proctor Fender, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2853 Issued in SC

Practice address

1300 Hospital Dr Ste 120
Mount Pleasant, SC 29464-3204

Phone

(843) 849-8418

NPI assigned

Oct 24, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sfender486226@direct.musc.edu

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.

• Musc Community Physicians

  • Internal Medicine Physician
  • Bamberg, SC
  • NPI 1841878006
  Medicare reassignment NPD
• Charleston Dermatology, PC

  • Dermatology Physician
  • North Charleston, SC
  • NPI 1609320217
  Medicare reassignment
• Musc Community Physicians

  • Rural Health Clinic/Center
  • Bowman, SC
  • NPI 1225735772
  NPD
• Regional Medical Center of Orangeburg and Calhoun Counties

  • Community/Retail Pharmacy
  • Orangeburg, SC
  • NPI 1467709881
  NPD (past)

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1689186116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 HOSPITAL DR STE 120",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643204",
            "telephone_number": "843-849-8418",
            "fax_number": "843-849-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HOSPITAL DR STE 120",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643204",
            "telephone_number": "843-849-8418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "346 W Butler St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290722606",
            "country_code": "US",
            "telephone_number": "803-951-1717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENDER",
        "first_name": "SARAH",
        "middle_name": "PROCTOR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey John Farricielli, M.D.
• Julie Hall Faubion, MSR, CCC-SLP
• John Fauerbach, DC
• Brenda Shirley Fauteux, RPH
• Jessica Fay
• Caleb Fennell
• Elizabeth Faith Fenton, DPT
• Carol Green Fenwick, RD, LD
• Vanessa Feola, PHD
• Leslie Fergus, PT

• Physician Assistant in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.