Active NPI
Sara Elisabeth Cothran, APRN
- Gerontology Nurse Practitioner
- Greenwood, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 28229
- Practice address
- 115 Overland Dr
Greenwood, SC 29646-4053 - Phone
- (864) 227-6641
- NPI assigned
- Dec 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 28229 | SC | Primary |
Addresses
Primary practice location
115 Overland Dr
Greenwood, SC 29646-4053
Mailing address
115 Overland Dr
Greenwood, SC 29646-4053
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1530 Pkwy
Greenwood, SC 29646-4027
Phone (864) 330-1666
Hospital & facility affiliations
- Amedisys Home Health of Clinton
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28229 | SC | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Self Medical Group | Current | Accepting new patients | |
| Palmetto Medical Rehabilitation | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients |
Locations
75 Remittance Dr
Dept 6764
Chicago, IL 60675
115 Overland Dr
Greenwood, SC 29646
Phone (864) 227-6641
1530 Parkway
Greenwood, SC 29646
Phone (864) 330-1666
2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866
Organizations & group practices 4
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.
-
- Physical Medicine & Rehabilitation Physician
- Greenwood, SC
- NPI 1801059779
-
- Surgery Physician
- Greenwood, SC
- NPI 1982836847
-
- Nurse Practitioner
- Greenwood, SC
- NPI 1104572411
-
- Diagnostic Radiology Physician
- Greenwood, SC
- NPI 1659839694
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Clinton, SC
- NPI 1679531156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1750150512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 OVERLAND DR",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296464053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 OVERLAND DR",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296464053",
"telephone_number": "864-227-6641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTHRAN",
"first_name": "SARA",
"middle_name": "ELISABETH",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-21",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "SC",
"license": "28229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.