Individual provider Active NPI

Sarah Aileen Jennings-Kumagai, MD

  • Anesthesiology Physician
  • Newnan, GA
National Provider Identifier
1104837665
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
86056 Issued in GA
Practice address
745 Poplar Rd
Newnan, GA 30265-1618
Phone
(770) 400-1000
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 91832 FL
Anesthesiology Physician 207L00000X 86056 GA Primary

Addresses

Primary practice location

745 Poplar Rd
Newnan, GA 30265-1618

Mailing address

2918 W Coachman Ave
Tampa, FL 33611-2810
Phone (813) 428-1118

Other practice location 1

775 Poplar Rd Ste Ll20
Newnan, GA 30265-8306
Phone (770) 253-1912

Other practice location 2

2918 W Coachman Ave
Tampa, FL 33611-2810
Phone (813) 428-1118

Other identifiers 3

IdentifierTypeStateIssuer
276182300MedicaidFL
31014OtherFLBCBS
31014YOtherFLGTBA MEDICARE REASSIGN

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
I20210615001666 GA Practitioner - Anesthesiology 3072533041 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Piedmont Anesthesia LLCGroup PAC ID 2163837972, 555 clinicians
Premier Anesthesia of Georgia LLCGroup PAC ID 6608123724, 62 clinicians

Practice addresses (Care Compare)

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (800) 242-1131

1700 Medical Way
Snellville, GA 30078-2195
Phone (770) 979-0200

Hospital & facility affiliations

  • Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229
  • Piedmont Eastside Medical Center Hospital, Snellville, GA, CCN 110192
  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215
  • Piedmont Henry Hospital Hospital, Stockbridge, GA, CCN 110191

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
91832FLMDAnesthesiology Physician
86056GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Anesthesia LLC Anesthesiology CurrentSince Nov 14, 2024 Accepting new patients
Premier Anesthesia of Georgia LLC Anesthesiology CurrentSince Oct 1, 2025 Accepting new patients
Piedmont Anesthesia Associates, L.L.C Anesthesiology CurrentSince May 19, 2021 Accepting new patients
American Anesthesiology Associates of Florida, Inc. Anesthesiology Past Accepting new patients

Locations

1984 Peachtree Rd NW
Ste 515
Atlanta, GA 30309
Phone (404) 351-1754

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

775 Poplar Rd
Ste LL20
Newnan, GA 30265
Phone (770) 253-1912

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

Organizations & group practices 4

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 4

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1104837665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 W COACHMAN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336112810",
            "telephone_number": "813-428-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 POPLAR RD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651618",
            "telephone_number": "770-400-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 Poplar Rd Ste Ll20",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302658306",
            "country_code": "US",
            "telephone_number": "770-253-1912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2918 W Coachman Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336112810",
            "country_code": "US",
            "telephone_number": "813-428-1118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENNINGS-KUMAGAI",
        "first_name": "SARAH",
        "middle_name": "AILEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "91832",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "86056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276182300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31014",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GTBA MEDICARE REASSIGN",
            "identifier": "31014Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.