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

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

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