Individual provider Active NPI

Sabrina Davina Harrison, M.D.

  • Specialist
  • Roswell, GA
National Provider Identifier
1194717264
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
054900 Issued in GA
Practice address
1875 Old Alabama Rd
Ste. 210
Roswell, GA 30076-2272
Phone
(770) 670-6145
Fax
(770) 670-6146
NPI assigned
Aug 16, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 054900 GA Primary

Addresses

Primary practice location

1875 Old Alabama Rd
Ste. 210
Roswell, GA 30076-2272

Mailing address

5400 Glenridge Dr Unit 420306
Atlanta, GA 30342-7512
Phone (770) 670-6145

Other identifiers 1

IdentifierTypeStateIssuer
54900OtherGAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
054900GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Hospital, Inc. Past Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients

Organizations & group practices 2

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1194717264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 GLENRIDGE DR UNIT 420306",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303427512",
            "telephone_number": "770-670-6145",
            "fax_number": "770-670-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 OLD ALABAMA RD",
            "address_2": "STE. 210",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762272",
            "telephone_number": "770-670-6145",
            "fax_number": "770-670-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "SABRINA",
        "middle_name": "DAVINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "054900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "54900",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.