Individual provider Active NPI

Sarah Elizabeth Bragg, PA-C

  • Physician Assistant
  • Matthews, NC
National Provider Identifier
1245703289
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-08690 Issued in NC
Practice address
1450 Matthews Township Pkwy Ste 450
Matthews, NC 28105
Phone
(704) 384-8480
Fax
(704) 384-8481
NPI assigned
Jan 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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 0010-08690 NC Primary

Addresses

Primary practice location

1450 Matthews Township Pkwy Ste 450
Matthews, NC 28105

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

710 E 7th St Apt 412
Charlotte, NC 28202-3037
Phone (803) 230-3432

Other practice location 2

710 E 7th St Apt 412
Charlotte, NC 28202-3037
Phone (803) 230-3432

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sbragg717138@direct.novanthealth.org

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190409003301 NC Practitioner - Physician Assistant 4385985829 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

1450 Matthews Township Pkwy
Suite 450
Matthews, NC 28105-5343
Phone (704) 384-8480

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200

5145 Sellers Rd
Shallotte, NC 28470-3405
Phone (910) 754-4572

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Jan 28, 2019 Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 5, 2019 Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 5, 2019 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 28, 2019 Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

270 Copperfield Blvd NE
Ste 102
Concord, NC 28025
Phone (704) 721-2060

1450 Matthews Township Pkwy
Ste 450
Matthews, NC 28105
Phone (704) 344-2220

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1245703289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MATTHEWS TOWNSHIP PKWY STE 450",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "28105",
            "telephone_number": "704-384-8480",
            "fax_number": "704-384-8481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 E 7th St Apt 412",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282023037",
            "country_code": "US",
            "telephone_number": "803-230-3432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 E 7th St Apt 412",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282023037",
            "country_code": "US",
            "telephone_number": "803-230-3432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAGG",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2020-10-26",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbragg717138@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "710 E 7th St Apt 412",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282023037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.