Individual provider Active NPI

Sarah Powell Elliott, M.D.

  • Pediatrics Physician
  • Wadesboro, NC
National Provider Identifier
1245311323
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
96-00294 Issued in NC
Practice address
904 Morven Road
Suite 100
Wadesboro, NC 28170-2834
Phone
(704) 994-2300
Fax
(704) 994-2373
NPI assigned
Oct 17, 2006
Last updated
Feb 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 96-00294 NC Primary

Addresses

Primary practice location

904 Morven Road
Suite 100
Wadesboro, NC 28170-2834

Mailing address

904 Morven Road
Suite 100
Wadesboro, NC 28170-2834
Phone (704) 994-2300

Other identifiers 1

IdentifierTypeStateIssuer
8930608MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091110000741 NC Practitioner - Pediatric Medicine 1355251620

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
96-00294NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidzcare Pediatrics, PC Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8079/brand/1/csg/1/fhir/r4
  • Direct secure messaging: selliott499887@carolinashealthcaresystem.direct-ci.com

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1245311323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 MORVEN ROAD",
            "address_2": "SUITE 100",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702834",
            "telephone_number": "704-994-2300",
            "fax_number": "704-994-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 MORVEN ROAD",
            "address_2": "SUITE 100",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702834",
            "telephone_number": "704-994-2300",
            "fax_number": "704-994-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "SARAH",
        "middle_name": "POWELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "96-00294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8930608",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadesboro, NC

Sources for this page

Verify at the official NPI Registry.