Individual provider Active NPI

Sarah Oblack

  • Family Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1255146262
Registry record updated Feb 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3-002177 Issued in AL
Practice address
770 Washington Ave
Montgomery, AL 36104-3819
Phone
(334) 293-5200
NPI assigned
Feb 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3-002177 AL Primary

Addresses

Primary practice location

770 Washington Ave
Montgomery, AL 36104-3819

Mailing address

2140 Vizcaya Dr
Navarre, FL 32566-7545
Phone (970) 584-9154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20250929001162 AL Practitioner - Nurse Practitioner 8628573714 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 111
Moultrie, GA 31776-0111

PO Box
Suite 6289
Dothan, AL 36302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Extended Care Medical Associates LLC CurrentSince Aug 1, 2025 Accepting new patients
Signify Health, LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280

256 Honeysuckle Rd
Ste 20
Dothan, AL 36305
Phone (334) 446-0600

256 Honeysuckle Rd
Ste 14
Dothan, AL 36305
Phone (334) 794-5467

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738972800000",
    "number": "1255146262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 VIZCAYA DR",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667545",
            "telephone_number": "970-584-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 WASHINGTON AVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361043819",
            "telephone_number": "334-293-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBLACK",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-08",
        "last_updated": "2025-02-08",
        "certification_date": "2025-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "3-002177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.