Organization Active NPI

Sage Health at Home LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Atlanta, GA
National Provider Identifier
1235838624
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
SAGE HEALTH AT HOME LLC
Practice address
3100 Interstate North Cir SE Ste 200
Atlanta, GA 30339-2384
Phone
(678) 888-3313
Fax
(678) 888-4229
NPI assigned
Feb 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Dr. Carla Maria Perissinotto, MDNPI 1790963502
Title
Chief Medical Officer
Phone
(678) 688-3313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X Primary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0002X

Addresses

Primary practice location

3100 Interstate North Cir SE Ste 200
Atlanta, GA 30339-2384

Mailing address

3100 Interstate North Cir SE Ste 200
Atlanta, GA 30339-2384
Phone (678) 888-3313

Other identifiers 1

IdentifierTypeStateIssuer
1790963502OtherNPPES

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230517002364 GA Part B Supplier - Clinic/Group Practice 7517323512 Receives reassigned benefits from 2 practitioners
Practice locations: Kennesaw, GA

National Provider Directory

National Provider Directory

Locations

1635 Old 41 Hwy NW
Kennesaw, GA 30152
Phone (770) 426-6860

1635 Old 41 Hwy NW
Ste 112216
Kennesaw, GA 30152
Phone (678) 626-1490

1635 Old Highway 41 NW
Ste 112
Kennesaw, GA 30152

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1235838624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 INTERSTATE NORTH CIR SE STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392384",
            "telephone_number": "678-888-3313",
            "fax_number": "678-888-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 INTERSTATE NORTH CIR SE STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392384",
            "telephone_number": "678-888-3313",
            "fax_number": "678-888-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE HEALTH AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-24",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "PERISSINOTTO",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "678-688-3313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1790963502",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.