Individual provider Active NPI

Sarah Bomar, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Roswell, GA
National Provider Identifier
1043787393
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP010168 Issued in GA
Practice address
1475 Holcomb Bridge Rd Ste 113
Roswell, GA 30076-2126
Phone
(678) 591-3542
NPI assigned
Oct 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP010168 GA Primary

Addresses

Primary practice location

1475 Holcomb Bridge Rd Ste 113
Roswell, GA 30076-2126

Mailing address

235 Lachaize Cir
Atlanta, GA 30327-4346
Phone (575) 636-3461

Other practice location 1

415 Fairford Ln
Johns Creek, GA 30097-7838
Phone (404) 509-6303

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP010168GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Darling Pediatric Therapies PastSince May 3, 2020 Accepting new patients
RS Goldring Inc Speech-Language Pathologist Past Accepting new patients
RS Goldring Inc Speech-Language Pathologist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1043787393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 LACHAIZE CIR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274346",
            "telephone_number": "575-636-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 HOLCOMB BRIDGE RD STE 113",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762126",
            "telephone_number": "678-591-3542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Fairford Ln",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300977838",
            "country_code": "US",
            "telephone_number": "404-509-6303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOMAR",
        "first_name": "SARAH",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP010168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.