Sallie Jo Rivera, FNP-BC, MSN, CIC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN267435 Issued in GA

Practice address

325 Georgia Ave Ste 200
North Augusta, SC 29841-3848

Phone

(803) 442-5750

Fax

(803) 442-5751

NPI assigned

Nov 20, 2013

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA, SC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neighborhood Improvement Project, IncGroup PAC ID 7315851078, shared by 25 NPIs, 68 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctors Hospital Hospital, Augusta, GA, CCN 110177

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sallie.rivera@mapbt.eclinicaldirectplus.com

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.

• Umg Primary Care South Carolina, LLC

  • Family Medicine Physician
  • Aiken, SC
  • NPI 1851747190
  Medicare reassignment NPD
• Neighborhood Improvement Project Inc

  • Primary Podiatric Medicine Podiatrist
  • Evans, GA
  • NPI 1124984224
  Medicare reassignment
• Neighborhood Improvement Project Inc

  • Federally Qualified Health Center (FQHC)
  • Evans, GA
  • NPI 1740158922
  NPD
• Neighborhood Improvement Project, Inc

  • Federally Qualified Health Center (FQHC)
  • Augusta, GA
  • NPI 1700900867
  NPD
• University Medical Group LLC

  • Internal Medicine Physician
  • Augusta, GA
  • NPI 1336413954
  NPD
• University Medical Group LLC

  • Internal Medicine Physician
  • Augusta, GA
  • NPI 1871885806
  NPD
• University Primary Care

  • Internal Medicine Physician
  • Augusta, GA
  • NPI 1124231808
  NPD
• Neighborhood Improvement Project, Inc

  • Federally Qualified Health Center (FQHC)
  • Wrens, GA
  • NPI 1760815773
  NPD (past)

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

• Doctors Hospital of Augusta LLC

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1912951963
  Care Compare affiliation

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1841620218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309031705",
            "telephone_number": "706-724-7263",
            "fax_number": "706-774-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 GEORGIA AVE STE 200",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413848",
            "telephone_number": "803-442-5750",
            "fax_number": "803-442-5751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1021 Silver Bluff Rd",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298035879",
            "country_code": "US",
            "telephone_number": "803-648-0587",
            "fax_number": "803-648-9846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Walnut Ln Ste 102",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298608629",
            "country_code": "US",
            "telephone_number": "803-202-7110",
            "fax_number": "803-202-7111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Georgia Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298413848",
            "country_code": "US",
            "telephone_number": "803-202-3351",
            "fax_number": "803-819-8532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1348 Walton Way Ste 5100",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309015108",
            "country_code": "US",
            "telephone_number": "706-722-8242",
            "fax_number": "706-722-8351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3515 Richland Ave W",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298016311",
            "country_code": "US",
            "telephone_number": "803-642-2626",
            "fax_number": "803-642-2960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Walnut Ln Ste 101",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298608629",
            "country_code": "US",
            "telephone_number": "803-202-7159",
            "fax_number": "803-202-7158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1023 Silver Bluff Rd",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298035879",
            "country_code": "US",
            "telephone_number": "803-502-5515",
            "fax_number": "803-502-5514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "SALLIE",
        "middle_name": "JO",
        "credential": "FNP-BC, MSN, CIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-20",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN267435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (GROUP)",
            "identifier": "206147",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (INDIVIDUAL)",
            "identifier": "F400129560",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Denise Richardson
• Rising Star Youth and Family Services
• Rite Aid
• Marcela Magdalena Rivas
• William A Rivell, MD
• Riverfront Dental Care LLC
• Gayle Latisha Rivers, PHARMD
• Megan L Roach, A.T.
• Amberly Roberts
• Mindy Roberts, RN

• Family Nurse Practitioner in North Augusta, SC
• Providers in North Augusta, 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 Feb 5, 2020; 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.