Sarah Stall, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-00801 Issued in NC

Practice address

901 Denim Dr
Erwin, NC 28339-2307

Phone

(910) 897-2003

Fax

(910) 897-5587

NPI assigned

Mar 20, 2007

Last updated

Mar 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Sarah Gainey Former name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Scotland Memorial Hospital Inc

  dba SURGICAL ASSOCIATES of SCOTLAND

  • Vascular Surgery Physician
  • Laurinburg, NC
  • NPI 1477791507
  Medicare reassignment NPD
• Lifelink Medical Group PLLC

  dba Harnett Family Medicine

  • Family Medicine Physician
  • Erwin, NC
  • NPI 1093104929
  Medicare reassignment
• North Carolina Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Laurinburg, NC
  • NPI 1003861386
  Medicare reassignment
• Scotland Memorial Hospital Inc

  dba Carolinas Vascular Associates

  • Vascular Surgery Physician
  • Laurinburg, NC
  • NPI 1861036899
  NPD

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1154446854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 DENIM DR",
            "city": "ERWIN",
            "state": "NC",
            "postal_code": "283392307",
            "telephone_number": "910-897-2003",
            "fax_number": "910-897-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 DENIM DR",
            "city": "ERWIN",
            "state": "NC",
            "postal_code": "283392307",
            "telephone_number": "910-897-2003",
            "fax_number": "910-897-5587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2511 Old Cornwallis Rd",
            "address_2": "suite 200",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277131869",
            "country_code": "US",
            "telephone_number": "919-932-5700",
            "fax_number": "919-933-6881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STALL",
        "first_name": "SARAH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-00801",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "001000801",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "GAINEY",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rha Health Services NC, LLC
• Rha Health Services NC, LLC
• Richard Michael Slusher, D.O.
• Madilyn Gray Smith, PA-C
• Tracy Jackson Snyder, LCASA
• Melissa L. Stancil, MA
• Anna Grace Stephenson, FNP
• Stewart Optometry Group, PA
• Lakesha Shanta Surles
• The Family Enrichment Center

• Physician Assistant in Erwin, NC
• Providers in Erwin, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.