Individual provider Active NPI

Serena Satcher, MD

  • Physical Medicine & Rehabilitation Physician
  • Atlanta, GA
National Provider Identifier
1093723629
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
055442 Issued in GA
Practice address
260 Peachtree St NW Ste 2200
Atlanta, GA 30303-1292
Phone
(703) 454-9326
Fax
(866) 849-0847
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Integrative Medicine Physician 202D00000X 055442 GA
Integrative Medicine Physician 202D00000X 0101249229 VA
Internal Medicine Physician 207R00000X 0101249229 VA
Internal Medicine Physician 207R00000X 055442 GA
Internal Medicine Physician 207R00000X 036-086485 IL
Physical Medicine & Rehabilitation Physician 208100000X 0101249229 VA
Physical Medicine & Rehabilitation Physician 208100000X 255199-1 NY
Physical Medicine & Rehabilitation Physician 208100000X 0554442 GA
Physical Medicine & Rehabilitation Physician 208100000X 036-086485 IL
Physical Medicine & Rehabilitation Physician 208100000X 0101249229 NY
Physical Medicine & Rehabilitation Physician 208100000X 055442 GA Primary
Independent Medical Examiner Physician 202C00000X 0101249229 VA
Independent Medical Examiner Physician 202C00000X 0554442 GA
Independent Medical Examiner Physician 202C00000X 255199 NY

Addresses

Primary practice location

260 Peachtree St NW Ste 2200
Atlanta, GA 30303-1292

Mailing address

260 Peachtree St NW Ste 2200
Atlanta, GA 30303-1292
Phone (703) 454-9326

Other practice location 1

85 5th Ave Fl 8
New York, NY 10003-3019
Phone (646) 863-1411

Other practice location 2

1730 E Holly Ave
El Segundo, CA 90245-4404
Phone (855) 787-4432

Other identifiers 3

IdentifierTypeStateIssuer
036086485MedicaidIL
250012434OtherILRAILROAD MEDICARE
250012433OtherILRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2025 through Oct 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
255199NYMDIndependent Medical Examiner Physician
055442GAMDIntegrative Medicine Physician
0101249229VAMDInternal Medicine Physician
0554442GAMDPhysical Medicine & Rehabilitation Physician
036-086485ILMDPhysical Medicine & Rehabilitation Physician
0101249229NYMDPhysical Medicine & Rehabilitation Physician
255199-1NYMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1093723629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 PEACHTREE ST NW STE 2200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303031292",
            "telephone_number": "703-454-9326",
            "fax_number": "866-849-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 PEACHTREE ST NW STE 2200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303031292",
            "telephone_number": "703-454-9326",
            "fax_number": "866-849-0847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 5th Ave Fl 8",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100033019",
            "country_code": "US",
            "telephone_number": "646-863-1411",
            "fax_number": "646-863-1411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1730 E Holly Ave",
            "address_purpose": "LOCATION",
            "city": "El Segundo",
            "state": "CA",
            "postal_code": "902454404",
            "country_code": "US",
            "telephone_number": "855-787-4432",
            "fax_number": "855-787-4432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SATCHER",
        "first_name": "SERENA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "GA",
            "license": "055442",
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "VA",
            "license": "0101249229",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101249229",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "055442",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-086485",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0101249229",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "255199-1",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "0554442",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036-086485",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "0101249229",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "055442",
            "primary": true
        },
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "VA",
            "license": "0101249229",
            "primary": false
        },
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "GA",
            "license": "0554442",
            "primary": false
        },
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "NY",
            "license": "255199",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036086485",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "250012434",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "250012433",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.