Individual provider Active NPI

Sarah Beadles, NP-C

  • Family Nurse Practitioner
  • Norcross, GA
National Provider Identifier
1124537717
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN231136 Issued in GA
Practice address
4864 Jimmy Carter Blvd Ste 203
Norcross, GA 30093-3704
Phone
(770) 806-0162
NPI assigned
Sep 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN231136 GA
Family Nurse Practitioner 363LF0000X RN231136 GA Primary

Addresses

Primary practice location

4864 Jimmy Carter Blvd Ste 203
Norcross, GA 30093-3704

Mailing address

2247 Humility LN NE
Brookhaven, GA 30319-2714

Other practice location 1

5949 Buford Hwy
Norcross, GA 30071-2472
Phone (678) 280-6630

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

State licenses

LicenseStateTypeSpecialty
RN231136GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Health Center of Gwinnett Past Accepting new patients
Good Samaritan Health Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sarah.beadles.1@14358.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/6806/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1124537717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2247 HUMILITY LN NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303192714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4864 JIMMY CARTER BLVD STE 203",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933704",
            "telephone_number": "770-806-0162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5949 Buford Hwy",
            "address_purpose": "LOCATION",
            "city": "Norcross",
            "state": "GA",
            "postal_code": "300712472",
            "country_code": "US",
            "telephone_number": "678-280-6630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEADLES",
        "first_name": "SARAH",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "GA",
            "license": "RN231136",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN231136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.