Individual provider Active NPI

Elizabeth T Sergile, MD

  • Family Medicine Physician
  • Alpharetta, GA
National Provider Identifier
1033126578
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
051739 Issued in GA
Practice address
3400 Old Milton Pkwy
Ste A130
Alpharetta, GA 30005-3707
Phone
(770) 664-8898
Fax
(770) 772-4377
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 051739 GA Primary

Addresses

Primary practice location

3400 Old Milton Pkwy
Ste A130
Alpharetta, GA 30005-3707

Mailing address

3400 Old Milton Pkwy
Ste A130
Alpharetta, GA 30005-3707
Phone (770) 664-8898

Other identifiers 1

IdentifierTypeStateIssuer
003149910AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elizabethsergile@pnfm.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051128000356 GA Practitioner - Family Practice 0244250900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Miami, LM Miller School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perimeter Professional Services, LLCGroup PAC ID 9032337423, 21 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

3400 Old Milton Pkwy
A130
Alpharetta, GA 30005-4417
Phone (770) 664-8898

400 Dawson Commons Cir
Suite 430
Dawsonville, GA 30534-6269
Phone (706) 265-8790

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Perimeter North Family Practice LLC Family Medicine CurrentSince Jul 15, 2014 Accepting new patients
Perimeter Professional Services, LLC Family Medicine CurrentSince Jul 15, 2014 Accepting new patients

Locations

3400 Old Milton Pkwy
Ste 130
Alpharetta, GA 30005
Phone (770) 664-8898

3400 Old Milton Pkwy
Ste A130
Alpharetta, GA 30005
Phone (770) 664-8898

9 Dunwoody Park
Ste 129
Dunwoody, GA 30338

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

960 Johnson Fy Rd NE
Ste 300
Sandy Springs, GA 30342
Phone (404) 255-7325

Interoperability endpoints

  • Direct secure messaging: elizabethsergile@pnfm.allscriptsdirect.net

Organizations & group practices 2

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1033126578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 OLD MILTON PKWY",
            "address_2": "STE A130",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053707",
            "telephone_number": "770-664-8898",
            "fax_number": "770-772-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 OLD MILTON PKWY",
            "address_2": "STE A130",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053707",
            "telephone_number": "770-664-8898",
            "fax_number": "770-772-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERGILE",
        "first_name": "ELIZABETH",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "051739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003149910A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elizabethsergile@pnfm.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "3400 Old Milton Pkwy",
            "address_2": "Ste A130",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300053707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.