Active NPI
Sarah Elizabeth Novak
- Social Worker
- Newnan, GA
National Provider Identifier
1003459843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 59 Hospital Rd # 1209
Newnan, GA 30263-1209 - Phone
- (678) 423-4610
- NPI assigned
- Oct 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
59 Hospital Rd # 1209
Newnan, GA 30263-1209
Mailing address
122 Gordon Commercial Dr Ste C
Lagrange, GA 30240-5754
Phone (706) 845-4045
Other practice location 1
1710 GA-16 West
#6
Griffin, GA 30223
Phone (770) 229-3407
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571875200000",
"number": "1003459843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 GORDON COMMERCIAL DR STE C",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302405754",
"telephone_number": "706-845-4045",
"fax_number": "706-845-4367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 HOSPITAL RD # 1209",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302631209",
"telephone_number": "678-423-4610"
}
],
"practiceLocations": [
{
"address_1": "1710 GA-16 West",
"address_2": "#6",
"address_purpose": "LOCATION",
"city": "Griffin",
"state": "GA",
"postal_code": "30223",
"country_code": "US",
"telephone_number": "770-229-3407",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOVAK",
"first_name": "SARAH",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-24",
"last_updated": "2019-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.