Individual provider Active NPI

Sara Tussey Rains, D.C.

  • Chiropractor
  • Lexington, NC
National Provider Identifier
1164447363
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3391 Issued in NC
Practice address
200 S State St
Suite 1
Lexington, NC 27292-3373
Phone
(336) 248-5200
Fax
(336) 249-3200
NPI assigned
Jul 12, 2006
Last updated
Oct 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3391 NC Primary

Addresses

Primary practice location

200 S State St
Suite 1
Lexington, NC 27292-3373

Mailing address

200 S State St
Suite 1
Lexington, NC 27292-3373
Phone (336) 248-5200

Other identifiers 2

IdentifierTypeStateIssuer
086CAOtherNCBLUE CROSS BLUE SHIELD
5902167MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060131000938 NC Practitioner - Chiropractic 6002820883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

205 S Stratford Rd
Suite M
Winston Salem, NC 27103-1858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3391NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Chiropractic and Decompression Center, P.C. Chiropractor CurrentSince Aug 15, 2017 Accepting new patients
Gray Chiropractic and Sports Associates, P.a. PastSince Mar 1, 1999 Accepting new patients
Backpedalers, PLLC Chiropractor PastSince Jul 28, 2019 Accepting new patients

Locations

3831 W Market St
Greensboro, NC 27407
Phone (336) 299-3037

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1164447363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S STATE ST",
            "address_2": "SUITE 1",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272923373",
            "telephone_number": "336-248-5200",
            "fax_number": "336-249-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S STATE ST",
            "address_2": "SUITE 1",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272923373",
            "telephone_number": "336-248-5200",
            "fax_number": "336-249-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINS",
        "first_name": "SARA",
        "middle_name": "TUSSEY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "086CA",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902167",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.