Sara Janine Quan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A100749 Issued in CA

Practice address

4389 Beaufort Rd
Havelock, NC 28532

Phone

(252) 466-0921

NPI assigned

Dec 29, 2006

Last updated

Aug 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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 CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1316003767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4389 BEAUFORT RD",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "28532",
            "telephone_number": "252-466-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4389 BEAUFORT RD",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "28532",
            "telephone_number": "252-466-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAN",
        "first_name": "SARA",
        "middle_name": "JANINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2024-08-01",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A100749",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A100749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keegan Paulson, MD
• Mary Pelton, DNP, RN, PMHNP-BC
• Amy Mercer Peoples
• Stefen Charles Petry, DPT
• John Bradford Price, PSY.D.
• Alison Quebedeaux, RD, LDN
• Quicker Care Clinic PA
• Isabelle B Ragsdale, PH. D.
• Meredith Brooke Reagan
• Onaje George Rickerby, DMD

• Family Medicine Physician in Havelock, NC
• Providers in Havelock, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.