Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sara P Moore

Individual provider Family Nurse Practitioner · NPI 1093266520

Sara P Moore is a Nurse Practitioner in Clinton, South Carolina. Qualified in 2016, 10 years ago. Practices with Self Regional Healthcare, a 156-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
10
Licensed in
SC
In the registry since
2016
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Practice location Address checks out

210 S Broad St
Clinton, SC 29325-2505
Phone: (864) 833-0973
Fax: (864) 241-9290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22580 Highway 76 E Ste 200, Laurens, SC 29360-8460 — (864) 725-1480

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 20533 (SC)

Record details

NPI number1093266520
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 19, 2016
Last updated in NPPESApril 10, 2024
Certification dateApril 10, 2024
Mailing address300 E McBee Ave Fl 4, Greenville, SC 29601-2842

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Self Regional Healthcare — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Clinton