Individual provider Active NPI

Sarah Rackers, M.D.

  • Emergency Medicine Physician
  • Charlotte, NC
National Provider Identifier
1134480866
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
183368 Issued in NC
Practice address
1000 Blythe Blvd
Meb 3
Charlotte, NC 28203-5812
Phone
(704) 355-3658
NPI assigned
May 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X M-14035 ID
Emergency Medicine Physician 207P00000X 183368 NC Primary

Addresses

Primary practice location

1000 Blythe Blvd
Meb 3
Charlotte, NC 28203-5812

Mailing address

1000 Blythe Blvd
Meb 3
Charlotte, NC 28203-5812

Other practice location 1

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-4017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150911000502 GA Practitioner - Emergency Medicine 1254648090 Reassigns benefits to 4 organizations
I20180226000200 ID Practitioner - Emergency Medicine 1254648090 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
183368NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Mar 31, 2016 Accepting new patients
Hospitalist Medicine Physicians of Idaho- Nampa PLLC Emergency Medicine CurrentSince May 1, 2020 Accepting new patients
Georgia Hospitalists Group, LLC Current Accepting new patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Mar 31, 2016 Accepting new patients
Emergency Group of Columbus, LLC Emergency Medicine CurrentSince Feb 1, 2018 Accepting new patients
Heritage Physician Services, LLC Emergency Medicine CurrentSince Mar 1, 2018 Accepting new patients
Georgia Hospitalists Group, LLC CurrentSince Jan 24, 2016 Accepting new patients
Georgia Hospitalists Group, LLC CurrentSince Jan 24, 2016 Accepting new patients

Locations

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

415 6th St
Lewiston, ID 83501
Phone (208) 750-7445

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 8

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": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1134480866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BLYTHE BLVD",
            "address_2": "MEB 3",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BLYTHE BLVD",
            "address_2": "MEB 3",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035812",
            "telephone_number": "704-355-3658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2003 Kootenai Health Way",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838146051",
            "country_code": "US",
            "telephone_number": "208-625-4017",
            "fax_number": "208-625-5732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RACKERS",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "M-14035",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "183368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.