Individual provider Active NPI

Patricia Earle Sadler, M.D.

  • Internal Medicine Physician
  • Clinton, SC
National Provider Identifier
1922065747
Registry record updated Dec 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
SC12560 Issued in SC
Practice address
1304 Springdale Dr
Clinton, SC 29325-7226
Phone
(864) 833-6287
Fax
(864) 938-0086
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X SC12560 SC Primary

Addresses

Primary practice location

1304 Springdale Dr
Clinton, SC 29325-7226

Mailing address

1304 Springdale Dr
Clinton, SC 29325-7226
Phone (864) 833-6287

Other identifiers 1

IdentifierTypeStateIssuer
125607MedicaidSC

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
I20031208000524 SC Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 1153227608

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12560SCMDPharmacist
SC12560SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Laurens County Inc CurrentSince Aug 21, 2020 Accepting new patients
Prisma Health University Medical Group Internal Medicine Past Accepting new patients
Prisma Health University Medical Group Past Accepting new patients

Locations

1304 Springdale Dr
Clinton, SC 29325
Phone (864) 833-6287

Organizations & group practices 3

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228435200000",
    "number": "1922065747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 SPRINGDALE DR",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257226",
            "telephone_number": "864-833-6287",
            "fax_number": "864-938-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 SPRINGDALE DR",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257226",
            "telephone_number": "864-833-6287",
            "fax_number": "864-938-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADLER",
        "first_name": "PATRICIA",
        "middle_name": "EARLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "SC12560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125607",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, SC

Sources for this page

Verify at the official NPI Registry.