Individual provider Active NPI

Sarah Burre Loudermilk, APRN

  • Family Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1770049009
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22618 Issued in SC
Practice address
104 Innovation Dr
Greenville, SC 29607-5253
Phone
(864) 603-6300
NPI assigned
Feb 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22618 SC Primary

Addresses

Primary practice location

104 Innovation Dr
Greenville, SC 29607-5253

Mailing address

223 Ridge Way
Simpsonville, SC 29680-7028
Phone (615) 609-4283

Other names 1

  • Sarah Burre Warner Former name

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
I20190422000510 SC Practitioner - Nurse Practitioner 3678814506 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

104 Innovation Dr
Greenville, SC 29607-5253
Phone (864) 603-6300

317 Saint Francis Dr
Suite 220
Greenville, SC 29601-3976
Phone (864) 255-1901

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince May 21, 2022 Accepting new patients
St Francis Physician Services Inc CurrentSince Mar 18, 2019 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince May 21, 2022 Accepting new patients
St Francis Physician Services Inc CurrentSince Mar 18, 2019 Accepting new patients
St Francis Physician Services Inc Past Accepting new patients

Locations

104 Innovation Dr
Greenville, SC 29607
Phone (864) 255-1000

317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901

1200 Brookfield Blvd
Ste 400B
Greenville, SC 29607
Phone (864) 605-3721

Interoperability endpoints

  • Direct secure messaging: sloudermilk1153223@direct.bsmhealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1770049009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 RIDGE WAY",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807028",
            "telephone_number": "615-609-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 INNOVATION DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075253",
            "telephone_number": "864-603-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUDERMILK",
        "first_name": "SARAH",
        "middle_name": "BURRE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "WARNER",
            "middle_name": "BURRE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.