Individual provider Active NPI

Saria Carter Saccocio, MD

  • Family Medicine Physician
  • Greenville, SC
National Provider Identifier
1992882468
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
37617 Issued in SC
Practice address
877 W Faris Rd
Suite a
Greenville, SC 29605-4289
Phone
(864) 455-7800
Fax
(864) 455-9082
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101249046 VA
Family Medicine Physician 207Q00000X 37617 SC Primary

Addresses

Primary practice location

877 W Faris Rd
Suite a
Greenville, SC 29605-4289

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

22 National Guard Rd
Columbia, SC 29201
Phone (864) 522-8615

Other identifiers 2

IdentifierTypeStateIssuer
376178MedicaidSC
270911200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ssaccocio167741@direct.ghs.myhfn.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170524002495 SC Practitioner - Family Practice 0345213658 Reassigns benefits to 2 organizations
I20230804002822 NC Practitioner - Family Practice 0345213658 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101249046VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carelon Medical Partners, PC CurrentSince Jun 13, 2023 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Jan 1, 2021 Accepting new patients
Prisma Health Medical Group-Midlands Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
Clear Practice PLLC CurrentSince Oct 30, 2024 Accepting new patients
Caremore Medical Group of North Carolina, PC Family Medicine CurrentSince Jun 15, 2023 Accepting new patients
Carelon Medical Partners of North Carolina PC Family Medicine CurrentSince Jun 15, 2023 Accepting new patients
Luis R Cortes DO PA Past Accepting new patients
Prisma Health Medical Group-Midlands Past Accepting new patients

Locations

12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800

12900 Park Plaza Dr
Cerritos, CA 90703
Phone (562) 622-2800

1100 N Raleigh Blvd
Ste 130
Raleigh, NC 27610
Phone (919) 838-2887

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

8 Richland Medical Park Dr
Ste 200
Columbia, SC 29203

220 N Main St
Ste 500
Greenville, SC 29601
Phone (347) 294-3414

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

333 Commerce St
Ste 700
Nashville, TN 37201
Phone (615) 627-2293

Interoperability endpoints

  • Direct secure messaging: ssaccocio167741@direct.ghs.myhfn.org

Organizations & group practices 8

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1992882468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 W FARIS RD",
            "address_2": "SUITE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054289",
            "telephone_number": "864-455-7800",
            "fax_number": "864-455-9082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 National Guard Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "29201",
            "country_code": "US",
            "telephone_number": "864-522-8615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SACCOCIO",
        "first_name": "SARIA",
        "middle_name": "CARTER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101249046",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "37617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376178",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270911200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssaccocio167741@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ssaccocio167741@direct.ghs.myhfn.org",
            "address_1": "877 W Faris Rd",
            "address_2": "Suite A",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296054289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.