NPIMap

Individual provider Active NPI

Sara Neimanis, MD

  • Plastic Surgery Physician
  • Atlanta, GA
National Provider Identifier
1174940225
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
86079 Issued in GA
Practice address
975 Johnson Fy Rd NE Ste 100
Atlanta, GA 30342-1618
Phone
(404) 785-7792
Fax
(404) 785-3706
NPI assigned
Mar 26, 2014
Last updated
Jun 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 86079 GA Primary

Addresses

Primary practice location

975 Johnson Fy Rd NE Ste 100
Atlanta, GA 30342-1618

Mailing address

975 Johnson Fy Rd NE Ste 100
Atlanta, GA 30342-1618
Phone (404) 785-7792

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address choa@choa.gadirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210709002632 NY Practitioner - Plastic and Reconstructive Surgery 6204171895 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
U of R Plastic SurgeonsGroup PAC ID 5294726238, 18 clinicians

Practice addresses (Care Compare)

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
309849NYMDLicensed Practical Nurse
86079GAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester CurrentSince Aug 1, 2021 Accepting new patients
University of Rochester Current Accepting new patients
University of Rochester CurrentSince Aug 1, 2021 Accepting new patients
Trauma Burn Emergency Surgery of the University of Rochester CurrentSince Oct 1, 2022 Accepting new patients
Hematology Clinical Group Current Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
Pediatric Plastic Surgery of the University of Rochester CurrentSince Aug 1, 2021 Accepting new patients
U of R Plastic Surgeons Plastic Surgery CurrentSince Aug 1, 2021 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients

Locations

160 Sawgrass Dr
Ste 120
Rochester, NY 14620
Phone (585) 273-4713

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

Interoperability endpoints

  • Direct secure messaging: sneimanis94595@direct.urmc.rochester.edu

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1174940225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 JOHNSON FY RD NE STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421618",
            "telephone_number": "404-785-7792",
            "fax_number": "404-785-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 JOHNSON FY RD NE STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421618",
            "telephone_number": "404-785-7792",
            "fax_number": "404-785-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIMANIS",
        "first_name": "SARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "86079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "choa@choa.gadirect.net",
            "affiliation": "N",
            "address_1": "975 Johnson Fy Rd NE Ste 100",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303421618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.