NPIMap

Individual provider Active NPI

Sherrie B Richardson, APRN

  • Family Nurse Practitioner
  • Andrews, SC
National Provider Identifier
1780141093
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22558 Issued in SC
Practice address
675 N Morgan Ave
Andrews, SC 29510-2417
Phone
(843) 264-2680
Fax
(843) 264-2690
NPI assigned
Feb 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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 22558 SC Primary

Addresses

Primary practice location

675 N Morgan Ave
Andrews, SC 29510-2417

Mailing address

PO Box 608
MC Clellanville, SC 29458-0608
Phone (843) 990-7971

Other practice location 1

2482 Powell Rd
Georgetown, SC 29440-8590
Phone (843) 887-3274 ext. 104

Other practice location 2

411 E Main St
Andrews, SC 29510-4011
Phone (843) 264-1223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231122001639 SC Practitioner - Nurse Practitioner 2860840311 Reassigns benefits to 1 organization

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
St James Health and Wellness Inc 13 clinicians

Practice addresses (Care Compare)

1189 Tibwin Rd
MC Clellanville, SC 29458-9405
Phone (843) 887-3929

Hospital & facility affiliations

  • Amedisys Home Health of Georgetown Home health agency, Georgetown, SC, CCN 427065
  • Tidelands Georgetown Memorial Hospital Hospital, Georgetown, SC, CCN 420020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22558SCMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St James Health and Wellness Inc CurrentSince Aug 15, 2023 Accepting new patients
St. James Health and Wellness Inc. CurrentSince Aug 15, 2023 Accepting new patients
St James Health and Wellness Inc Current Accepting new patients
St James Health and Wellness Inc Past Accepting new patients

Locations

675 N Morgan Ave
Andrews, SC 29510
Phone (843) 264-2680

411 E Main St
Andrews, SC 29510
Phone (843) 264-1223

8189 Choppee Rd
Georgetown, SC 29440
Phone (843) 259-2712

2482 Powell Rd
Georgetown, SC 29440
Phone (843) 527-7533

422 N Fraser St
Georgetown, SC 29440
Phone (843) 436-1333

1189 Tibwin Rd
Mc Clellanville, SC 29458
Phone (843) 887-3929

Organizations & group practices 8

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 3

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": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1780141093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 608",
            "city": "MC CLELLANVILLE",
            "state": "SC",
            "postal_code": "294580608",
            "telephone_number": "843-990-7971",
            "fax_number": "843-887-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 N MORGAN AVE",
            "city": "ANDREWS",
            "state": "SC",
            "postal_code": "295102417",
            "telephone_number": "843-264-2680",
            "fax_number": "843-264-2690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2482 Powell Rd",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "SC",
            "postal_code": "294408590",
            "country_code": "US",
            "telephone_number": "843-887-3274 x104",
            "fax_number": "843-527-7940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 E Main St",
            "address_purpose": "LOCATION",
            "city": "Andrews",
            "state": "SC",
            "postal_code": "295104011",
            "country_code": "US",
            "telephone_number": "843-264-1223",
            "fax_number": "843-264-1227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "SHERRIE",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andrews, SC

Sources for this page

Verify at the official NPI Registry.