Individual provider Active NPI

Sarah Madeline Stripling, PA-C

  • Medical Physician Assistant
  • Conyers, GA
National Provider Identifier
1285101162
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
8966 Issued in GA
Practice address
1498 Klondike Rd SW Ste 106
Conyers, GA 30094-5169
Phone
(770) 761-7260
NPI assigned
Oct 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 8966 GA Primary

Addresses

Primary practice location

1498 Klondike Rd SW Ste 106
Conyers, GA 30094-5169

Mailing address

1100 Johnson Ferry Rd Ste 1100
Sandy Springs, GA 30342-1709

Other names 1

  • Sarah Madeline Crane Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20190116002825 GA Practitioner - Physician Assistant 2769728492 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8966GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
NSH Cancer Institute Professional Services a LLC CurrentSince Nov 13, 2019 Accepting new patients
NSH Cancer Institute Professional Services a LLC CurrentSince Nov 13, 2019 Accepting new patients

Locations

1498 Klondike Rd SW
Ste 106
Conyers, GA 30094
Phone (770) 761-7260

1100 Johnson Fy Rd NE
Ste 510
Sandy Springs, GA 30342
Phone (404) 419-1165

Organizations & group practices 3

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": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1285101162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FERRY RD STE 1100",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303421709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 KLONDIKE RD SW STE 106",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945169",
            "telephone_number": "770-761-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRIPLING",
        "first_name": "SARAH",
        "middle_name": "MADELINE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "8966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "CRANE",
            "middle_name": "MADELINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.