Sarah Nayebosadri, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

8837 Issued in GA

Practice address

10730 Medlock Bridge Rd Ste 110
Johns Creek, GA 30097-2638

Phone

(678) 344-8900

NPI assigned

Jun 15, 2018

Last updated

Apr 26, 2024By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Physician Assistant

Education

Mercer University School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advanced Urology Institute of GeorgiaGroup PAC ID 1759552607, 57 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
• Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087
• Northside Hospital Duluth Hospital, Duluth, GA, CCN 110252

Merit-based Incentive Payment System (MIPS)

Final score

83.66 of 100Reported as group

Quality

69.85

Promoting interoperability

100

Improvement activities

40

Cost

75.7

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.

• Advanced Urology Institute of Georgia, LLC

  • Urology Physician
  • Snellville, GA
  • NPI 1073896510
  Medicare reassignment Care Compare group NPD (past)
• Advanced Urology Institute of Georgia, LLC

  • Urology Physician
  • Lawrenceville, GA
  • NPI 1457851255
  NPD
• Advanced Urology Institute of Georgia, LLC

  • Urology Physician
  • Dallas, GA
  • NPI 1811846348
  NPD
• Advanced Urology Institute of Georgia LLC

  • Urology Physician
  • Conyers, GA
  • NPI 1790411585
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northeast Georgia Medical Center, Inc.

  • General Acute Care Hospital
  • Gainesville, GA
  • NPI 1427055821
  Care Compare affiliation
• Northside Hospital, Inc.

  dba Northside Hospital Duluth

  • General Acute Care Hospital
  • Duluth, GA
  • NPI 1790715381
  Care Compare affiliation
• Northside Hospital, Inc.

  dba Northside Hospital Gwinnett

  • General Acute Care Hospital
  • Lawrenceville, GA
  • NPI 1952340994
  Care Compare affiliation

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1164916938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 JANMAR RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785606",
            "telephone_number": "678-344-8900",
            "fax_number": "678-666-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10730 MEDLOCK BRIDGE RD STE 110",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300972638",
            "telephone_number": "678-344-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2695 Old Winder Hwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Braselton",
            "state": "GA",
            "postal_code": "305176076",
            "country_code": "US",
            "telephone_number": "678-344-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAYEBOSADRI",
        "first_name": "SARAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "8837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Akita, MD
• Jennifer Lynn Narvaez Roberts, MD
• Nash Smith Inc (Johns Creek Spa)
• Sivaniaravindapriya Nattama, DO
• Naveed S Ummed., M.D. Inc.
• Timothy Brent Neal Jr., DPT
• Nuria Nelkin, CNM APRN
• Amanda Smith Nelson, NP-C
• Dorinda Nelson, AGPCNP
• Gary L Nelson, DMD

• Surgical Physician Assistant in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.
• 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.