Sarah Annalise Estrada

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

9858 Issued in GA

Practice address

3224 Mercer University Dr Apt 301
Chamblee, GA 30341-5666

Phone

(678) 551-4508

NPI assigned

Jun 12, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Southern Crescent Neurological Clinic,PC

  • Neurology Physician
  • Fayetteville, GA
  • NPI 1013052182

  Single Specialty

  NPD

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1295394237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3224 MERCER UNIVERSITY DR APT 301",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303415666",
            "telephone_number": "678-551-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 MERCER UNIVERSITY DR APT 301",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303415666",
            "telephone_number": "678-551-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "SARAH",
        "middle_name": "ANNALISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "9858",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Deniss Edwards
• Ifeoma Eke, MD
• Elluna Care LLC
• Emary Home Care Services LLC
• Julie Eshleman, M. ED., BCBA
• Family First Medical Center, LLC
• Jiong Fan, MD
• Whitney Feinberg, MD
• Tim Fennell, PHD
• Marlon David Anthony Foote, DDS

• All providers in Chamblee, GA
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.