Sherri Cassidy, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

25011 Issued in SC

Practice address

12930 Broxton Bridge Rd
Ehrhardt, SC 29081

Phone

(843) 562-6480

Fax

(803) 267-2124

NPI assigned

Aug 17, 2021

Last updated

Apr 2, 2024By the provider in NPPES

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hampton Regional Medical Center Hospital, Varnville, SC, CCN 420072

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ehrhardt Medical Practice, LLC

  • Family Nurse Practitioner
  • Ehrhardt, SC
  • NPI 1518747435
  Medicare reassignment NPD Authorized official
• Edisto Home Care & Hospice, LLC

  • Community Based Hospice Care Agency
  • Orangeburg, SC
  • NPI 1578098190
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hampton Regional Medical Center

  • Rural Acute Care Hospital
  • Varnville, SC
  • NPI 1487651949
  Care Compare affiliation

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1750057253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 AUGUSTA HWY",
            "city": "SMOAKS",
            "state": "SC",
            "postal_code": "294816105",
            "telephone_number": "843-562-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12930 BROXTON BRIDGE RD",
            "city": "EHRHARDT",
            "state": "SC",
            "postal_code": "29081",
            "telephone_number": "843-562-6480",
            "fax_number": "803-267-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "SHERRI",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "25011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Grantham Avant, R.PH.
• Stephanie C Brown, RPH
• Lawrence Cantey Jr., BSW
• Donna's Pharmacy (Ehrhardt Pharmacy LLC)
• Ehrhardt Medical Practice, LLC
• Ehrhardt Pharmacy LLC
• Ehrhardt Pharmacy LLC
• Dean Homer Kohlhepp, RPTA

• Family Nurse Practitioner in Ehrhardt, SC
• Providers in Ehrhardt, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.