SRP MEDICAL LLC
NPI 1881485662
Nurse Practitioner in Charleston, SC
About Srp Medical Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SRP MEDICAL LLC (NPI 1881485662) is a healthcare organization registered as a nurse practitioner in Charleston, South Carolina and active in the NPI registry since May 2025. The organization lists Sonya R Puckett, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Srp Medical 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 Srp Medical LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Srp Medical LLC's NPI number?
The NPI number for Srp Medical LLC is 1881485662. It was assigned to this organization in the NPPES registry on May 13, 2025.
Where is Srp Medical LLC located?
Srp Medical LLC is located at 1445 Bluewater Way, Charleston, SC 29414. The listed phone number is (407) 516-3756.
What is Srp Medical LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Srp Medical LLC enrolled in Medicare?
Yes. Srp Medical LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Srp Medical LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Srp Medical 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.
What insurance does Srp Medical LLC accept?
Health plans from BlueCross BlueShield of South Carolina list Srp Medical 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 Srp Medical LLC was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Srp Medical Llc · NPI 1881485662
Nurse Practitioner organization in Charleston, South Carolina. Organization record, active in the CMS NPPES registry since May 13, 2025.
## Identity
- **NPI:** 1881485662 (Entity type: Organization)
- **Enumerated:** May 13, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Sonya Puckett, OWNER
## Practice location
- **Address:** 1445 BLUEWATER WAY, Charleston, SC 29414-7923
- **Phone:** (407) 516-3756
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1881485662) · Data from the CMS NPPES public registry.