Individual provider Active NPI

Sarah Adrienne Assante, PA-C

  • Physician Assistant
  • Cary, NC
National Provider Identifier
1003188830
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001014351 Issued in NC
Practice address
907 Kildaire Farm Rd
Cary, NC 27511-3922
Phone
(919) 319-6610
Fax
(919) 319-6365
NPI assigned
Feb 9, 2012
Last updated
Sep 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001014351 NC Primary

Addresses

Primary practice location

907 Kildaire Farm Rd
Cary, NC 27511-3922

Mailing address

907 Kildaire Farm Rd
Cary, NC 27511-3922
Phone (919) 319-6610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250115001926 NC Practitioner - Physician Assistant 0244491157 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001014351NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centra Medical Group Southside, LLC Past Accepting new patients
Park Urgent Care PLLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1003188830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 KILDAIRE FARM RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275113922",
            "telephone_number": "919-319-6610",
            "fax_number": "919-319-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 KILDAIRE FARM RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275113922",
            "telephone_number": "919-319-6610",
            "fax_number": "919-319-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSANTE",
        "first_name": "SARAH",
        "middle_name": "ADRIENNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-09",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001014351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.