Individual provider Active NPI

Sergio A Sanchez, MD

  • Psychiatry Physician
  • Greer, SC
National Provider Identifier
1912948647
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
27855 Issued in SC
Practice address
68 Parkway Commons Way
Greer, SC 29650-5213
Phone
(864) 877-5688
Fax
(864) 877-5684
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 27855 SC Primary

Addresses

Primary practice location

68 Parkway Commons Way
Greer, SC 29650-5213

Mailing address

68 Parkway Commons Way
Greer, SC 29650-5213
Phone (864) 877-5688

Other identifiers 1

IdentifierTypeStateIssuer
278559MedicaidSC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061005000274 SC Practitioner - PsychiatryPractitioner - Addiction Medicine 4880690361 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Chestnut Hill Mental Health Center, Inc. Psychiatry CurrentSince May 5, 2012 Accepting new patients
Chestnut Hill Mental Health Center, Inc Current Accepting new patients
Sandra H. Adams MSW, PA CurrentSince Dec 1, 2013 Accepting new patients
South Carolina Research Group LLC CurrentSince Aug 13, 2007 Accepting new patients

Locations

68 Parkway Commons Way
Greer, SC 29650
Phone (864) 322-7177

1 Havenwood Ln
Travelers Rst, SC 29690
Phone (864) 834-8013

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHEBA/Endpoint/IBHEBA

Organizations & group practices 4

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1912948647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 PARKWAY COMMONS WAY",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296505213",
            "telephone_number": "864-877-5688",
            "fax_number": "864-877-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 PARKWAY COMMONS WAY",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296505213",
            "telephone_number": "864-877-5688",
            "fax_number": "864-877-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "SERGIO",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "27855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278559",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

Verify at the official NPI Registry.