Individual provider Active NPI

Sara Streete

  • Physician Assistant
  • Southaven, MS
National Provider Identifier
1205780251
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01011 Issued in MS
Practice address
7585 Clarington CV # 5656
Southaven, MS 38671-5656
Phone
(662) 349-0200
NPI assigned
Feb 25, 2026
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA01011 MS Primary

Addresses

Primary practice location

7585 Clarington CV # 5656
Southaven, MS 38671-5656

Mailing address

928 Philadelphia St
Memphis, TN 38104-5744

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Tennessee, HSC, College of Medicine, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7585 Clarington CV
Southaven, MS 38671-5656

928 Philadelphia St
Memphis, TN 38104-5744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA01011MSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Clinic of North Mississippi, P.L.L.C. CurrentSince Jun 22, 2026 Accepting new patients

Locations

7585 Clarington Cv
Southaven, MS 38671
Phone (662) 349-0200

7585 Clarington Cv
#5656
Southaven, MS 38671
Phone (662) 349-0200

Organizations & group practices 1

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": "1771977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1205780251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 PHILADELPHIA ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381045744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7585 CLARINGTON CV # 5656",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715656",
            "telephone_number": "662-349-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREETE",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "PA01011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

Verify at the official NPI Registry.