Individual provider Active NPI

Ryan Sattar, DNP

  • Nurse Practitioner
  • Clinton, SC
National Provider Identifier
1871151753
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
22986 Issued in SC
Practice address
700 Plaza Cir Ste N
Clinton, SC 29325-7556
Phone
(864) 547-2160
Fax
(864) 547-2159
NPI assigned
Jun 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 216987 SC
Nurse Practitioner 363L00000X 22986 SC Primary

Addresses

Primary practice location

700 Plaza Cir Ste N
Clinton, SC 29325-7556

Mailing address

700 Plaza Cir Ste N
Clinton, SC 29325-7556
Phone (706) 503-5030

Other practice location 1

106 Parris Bridge Rd Ste A
Boiling Springs, SC 29316-1900
Phone (864) 334-7727

Other practice location 2

1731 Laurel St
Columbia, SC 29201-2624
Phone (803) 445-1934

Other practice location 3

300 John St Ste 4B
Greer, SC 29651-1463
Phone (864) 334-7727

Other practice location 4

104 Willis Plz
Gaffney, SC 29341-1500
Phone (864) 206-4477

Other practice location 5

10121 Clemson Blvd Ste A
Seneca, SC 29678-0818
Phone (864) 614-5312

Other practice location 6

3215 Martin Luther King Jr Blvd Ste O
Anderson, SC 29625-1715
Phone (864) 540-8184

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNONE

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
I20190913001498 SC Practitioner - Nurse Practitioner 1759610967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Creighton University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MedasicGroup PAC ID 3971934399, 12 clinicians

Practice addresses (Care Compare)

300 John St
Suite 4B
Greer, SC 29651-1463
Phone (864) 334-7727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216987SCMDCritical Care Medicine Registered Nurse
22986SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medasic CurrentSince Feb 1, 2020 Accepting new patients
Piedmont Pulmonary Medicine, LLC CurrentSince Aug 1, 2019 Accepting new patients

Locations

3215 Martin Luther King Jr Blvd
Ste O
Anderson, SC 29625
Phone (864) 540-8184

106 Parris Bridge Rd
Boiling Springs, SC 29316
Phone (864) 334-7727

106 Parris Bridge Rd
Ste A
Boiling Springs, SC 29316
Phone (864) 285-4378

700 Plaza Cir
Ste N
Clinton, SC 29325
Phone (864) 547-2160

1731 Laurel St
Columbia, SC 29201
Phone (803) 419-7780

104 Willis Plz
Gaffney, SC 29341
Phone (800) 792-9030

207 W Antrim Dr
Greenville, SC 29607
Phone (864) 350-6675

300 John St
Ste 4B
Greer, SC 29651
Phone (864) 334-7727

10121 Clemson Blvd
#A
Seneca, SC 29678
Phone (864) 614-5312

Interoperability endpoints

  • Direct secure messaging: rsattar233937@direct.ghs.myhfn.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1871151753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PLAZA CIR STE N",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257556",
            "telephone_number": "706-503-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PLAZA CIR STE N",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257556",
            "telephone_number": "864-547-2160",
            "fax_number": "864-547-2159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Parris Bridge Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Boiling Springs",
            "state": "SC",
            "postal_code": "293161900",
            "country_code": "US",
            "telephone_number": "864-334-7727",
            "fax_number": "864-655-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1731 Laurel St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292012624",
            "country_code": "US",
            "telephone_number": "803-445-1934",
            "fax_number": "803-445-1625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 John St Ste 4B",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296511463",
            "country_code": "US",
            "telephone_number": "864-334-7727",
            "fax_number": "864-655-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Willis Plz",
            "address_purpose": "LOCATION",
            "city": "Gaffney",
            "state": "SC",
            "postal_code": "293411500",
            "country_code": "US",
            "telephone_number": "864-206-4477",
            "fax_number": "864-614-1732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10121 Clemson Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296780818",
            "country_code": "US",
            "telephone_number": "864-614-5312",
            "fax_number": "864-614-1732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3215 Martin Luther King Jr Blvd Ste O",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296251715",
            "country_code": "US",
            "telephone_number": "864-540-8184",
            "fax_number": "864-540-8213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SATTAR",
        "first_name": "RYAN",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-05",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "SC",
            "license": "216987",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "22986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, SC

Sources for this page

Verify at the official NPI Registry.