Active NPI
Henry Archer Sakow, MD
- Psychiatry Physician
- Albany, GA
National Provider Identifier
1114904042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 023870
- Practice address
- 500 W 3Rd Ave
Suite 105
Albany, GA 31701-1985 - Phone
- (229) 312-7000
- Fax
- (229) 312-7006
- NPI assigned
- Dec 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 023870 | GA | Primary |
Addresses
Primary practice location
500 W 3Rd Ave
Suite 105
Albany, GA 31701-1985
Mailing address
PO Box 1828
Albany, GA 31702-1828
Phone (229) 312-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390561429B | Medicaid | GA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329782400000",
"number": "1114904042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1828",
"city": "ALBANY",
"state": "GA",
"postal_code": "317021828",
"telephone_number": "229-312-7000",
"fax_number": "229-312-7006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W 3RD AVE",
"address_2": "SUITE 105",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011985",
"telephone_number": "229-312-7000",
"fax_number": "229-312-7006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAKOW",
"first_name": "HENRY",
"middle_name": "ARCHER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2012-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "023870",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "390561429B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.