Individual provider Active NPI

Sara Wingate Graves, FNP-C

  • Family Nurse Practitioner
  • Cartersville, GA
National Provider Identifier
1295324895
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
322814 Issued in GA
Practice address
78 Opal St
Cartersville, GA 30120-2848
Phone
(770) 382-6120
NPI assigned
Jan 18, 2021
Last updated
Jan 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 31353 TN
Family Nurse Practitioner 363LF0000X 322814 GA Primary
Family Nurse Practitioner 363LF0000X 24589 SC

Addresses

Primary practice location

78 Opal St
Cartersville, GA 30120-2848

Mailing address

225 S Philpot St
Cedartown, GA 30125-3021

Other practice location 1

225 S Philpot St
Cedartown, GA 30125-3021
Phone (770) 748-4116

Other names 1

  • Sara Wingate Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TN, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210830001341 SC Practitioner - Nurse Practitioner 0143625111 Reassigns benefits to 2 organizations
I20220404001782 TN Practitioner - Nurse Practitioner 0143625111 Reassigns benefits to 1 organization
I20230905003098 GA Practitioner - Nurse Practitioner 0143625111 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hardy Renew Wellness,LLCGroup PAC ID 2961812425, 9 clinicians
Georgia Mso LLCGroup PAC ID 3173041639, 29 clinicians

Practice addresses (Care Compare)

1430 Georgia Ave
East Point, GA 30344-4329
Phone (212) 734-6621

1640 Powers Ferry Rd SE
BLDG 15
Marietta, GA 30067-5491
Phone (212) 734-6621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
322814GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of South Carolina PC CurrentSince Aug 2, 2021 Accepting new patients
Curana Health of Tennessee LLC Family CurrentSince Aug 29, 2022 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 1, 2022 Accepting new patients
Georgia Mso LLC CurrentSince Apr 15, 2025 Accepting new patients
Hardy Renew Wellness,LLC CurrentSince Jul 25, 2023 Accepting new patients

Locations

1640 Powers Ferry Rd SE
Bldg 15
Marietta, GA 30067
Phone (770) 722-9595

1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803

2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (505) 340-5555

2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750

255 Midland Pkwy
Summerville, SC 29485
Phone (843) 821-5005

100 Peabody Pl
Ste 150
Memphis, TN 38103

5865 Ridgeway Center Pkwy
Memphis, TN 38120
Phone (901) 210-1010

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

Organizations & group practices 5

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": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1295324895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S PHILPOT ST",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301253021",
            "fax_number": "442-201-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 OPAL ST",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202848",
            "telephone_number": "770-382-6120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 S Philpot St",
            "address_purpose": "LOCATION",
            "city": "Cedartown",
            "state": "GA",
            "postal_code": "301253021",
            "country_code": "US",
            "telephone_number": "770-748-4116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "SARA",
        "middle_name": "WINGATE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31353",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "322814",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24589",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "WINGATE",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cartersville, GA

Sources for this page

Verify at the official NPI Registry.