Organization Active NPI

Illumination Psychiatry LLC

  • Psychiatry Physician
  • North Augusta, SC
National Provider Identifier
1780499830
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ILLUMINATION PSYCHIATRY LLC
Practice address
115 Oakhurst Dr
North Augusta, SC 29860-9723
Phone
(802) 532-3355
NPI assigned
Feb 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Authorized official

Name
Sarah McNair, MDNPI 1053798231
Title
Manager
Phone
(802) 532-3355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

115 Oakhurst Dr
North Augusta, SC 29860-9723

Mailing address

115 Oakhurst Dr
North Augusta, SC 29860-9723

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1780499830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 OAKHURST DR",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298609723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 OAKHURST DR",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298609723",
            "telephone_number": "802-532-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATION PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "MCNAIR",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "802-532-3355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Augusta, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.