EHRHARDT MEDICAL PRACTICE, LLC
NPI 1518747435
Nurse Practitioner - Family in Ehrhardt, SC

Active since September 29, 2023CLIA 42D2296855 · Waiver
12930 BROXTON BRIDGE RD, EHRHARDT, SC 29081(803) 267-2121(803) 267-2124 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ehrhardt Medical Practice, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EHRHARDT MEDICAL PRACTICE, LLC (NPI 1518747435) is a healthcare organization registered as a family in Ehrhardt, South Carolina and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through January 7, 2028 and lists Sherri Cassidy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1518747435
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameEHRHARDT MEDICAL PRACTICE, LLC
Location Address12930 BROXTON BRIDGE RDEhrhardt, SC 29081
Mailing AddressPo Box 309Ehrhardt, SC 29081-0309 · (803) 267-2121 · Fax (803) 267-2124
Fax(803) 267-2124
Organization SubpartNo
Authorized OfficialSherri CassidyCeo · (803) 267-2121
Enumeration DateSeptember 29, 2023
Last NPPES UpdateOctober 5, 2023
NPPES CertifiedOctober 5, 2023
✔ NPI 1518747435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
12930 BROXTON BRIDGE RD, Ehrhardt, SC 29081

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ehrhardt Medical Practice, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ehrhardt Medical Practice, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1750057253
12930 BROXTON BRIDGE RD
Ehrhardt, SC 29081
(843) 562-6480
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2296855

Ehrhardt Medical Practice · Ehrhardt, SC
Active · expires Jan 7, 2028
CLIA Number42D2296855
Laboratory TypePhysician Office
Certificate Effective DateJanuary 8, 2026
Certificate Expiration DateJanuary 7, 2028
Laboratory DirectorSherri H. Cassidy
Laboratory Phone(803) 824-8367
Laboratory LocationEhrhardt Medical Practice12930 Broxton Bridge Road, Ehrhardt, SC 29081
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ehrhardt Medical Practice, LLC's NPI number?

The NPI number for Ehrhardt Medical Practice, LLC is 1518747435. It was assigned to this organization in the NPPES registry on September 29, 2023.

Where is Ehrhardt Medical Practice, LLC located?

Ehrhardt Medical Practice, LLC is located at 12930 Broxton Bridge Rd, Ehrhardt, SC 29081. The listed phone number is (803) 267-2121.

What is Ehrhardt Medical Practice, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ehrhardt Medical Practice, LLC enrolled in Medicare?

Yes. Ehrhardt Medical Practice, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ehrhardt Medical Practice, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ehrhardt Medical Practice, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ehrhardt Medical Practice, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2296855) is associated with this NPI, valid through January 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ehrhardt Medical Practice, LLC accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Ehrhardt Medical Practice, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ehrhardt Medical Practice, LLC was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.