Active NPI
Sarah Grace Purdy, PA-C
- Physician Assistant
- Pensacola, FL
National Provider Identifier
1285948703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA21731
- Practice address
- 5503 Admiral Doyle Rd
Pensacola, FL 32506-5353 - Phone
- (407) 902-8899
- NPI assigned
- Jul 27, 2010
- Last updated
- Jul 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 005951 | IL | |
| Physician Assistant | 363A00000X | 9112077 | FL | |
| Physician Assistant | 363A00000X | PA21731 | CA | Primary |
| Physician Assistant | 363A00000X | 0110003353 | VA |
Addresses
Primary practice location
5503 Admiral Doyle Rd
Pensacola, FL 32506-5353
Mailing address
5503 Admiral Doyle Rd
Pensacola, FL 32506-5353
Phone (407) 902-8899
Other names 1
- Sarah Grace Botelho
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, IL, WA, FL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Florida College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1400 Village Square Blvd
3 81835
Tallahassee, FL 32312-1250
Phone (800) 951-8257
700 Milam St
Suite 100
Houston, TX 77002-2833
Phone (844) 943-2514
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Science, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA21731 | CA | MD | Physician Assistant |
| 9112077 | FL | MD | Physician Assistant |
| 005951 | IL | MD | Physician Assistant |
| 0110003353 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Today Telemedicine Physician Assistant, Inc | Current | Accepting new patients | |
| Tidewater Emergency Medical Care | Physician Assistant | Past | Accepting new patients |
| Patient First Richmond Medical Group PLLC | Past | Accepting new patients | |
| Carbon Health Primary Care of California PC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/18731/brand/1/csg/1/fhir/r4
- sarah.purdy.1@18731.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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TX
-
- Medical Physician Assistant
- Spring, TX
- NPI 1427719871
-
dba MD Today Urgent Care
- Urgent Care Clinic/Center
- San Diego, CA
- NPI 1750644258
-
- Multi-Specialty Clinic/Center
- Berkeley, CA
- NPI 1972057990
-
- Family Medicine Physician
- Glen Allen, VA
- NPI 1689603748
-
dba Chesapeake Emergency Physicians
- Physician Assistant
- Chesapeake, VA
- NPI 1295366201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562716800000",
"number": "1285948703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5503 ADMIRAL DOYLE RD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325065353",
"telephone_number": "407-902-8899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5503 ADMIRAL DOYLE RD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325065353",
"telephone_number": "407-902-8899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURDY",
"first_name": "SARAH",
"middle_name": "GRACE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-27",
"last_updated": "2019-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "005951",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9112077",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA21731",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110003353",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "BOTELHO",
"middle_name": "GRACE",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.