Individual provider Active NPI

Sarah Sanders Eckley, P.A.

  • Physician Assistant
  • Augusta, GA
National Provider Identifier
1326390741
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
006624 Issued in GA
Practice address
1226 Dantignac St
Augusta, GA 30901-2788
Phone
(706) 922-0600
Fax
(706) 922-0603
NPI assigned
Oct 9, 2012
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 006624 GA Primary

Addresses

Primary practice location

1226 Dantignac St
Augusta, GA 30901-2788

Mailing address

PO Box 2344
Augusta, GA 30903-2344
Phone (706) 922-0600

Other identifiers 3

IdentifierTypeStateIssuer
1546PAMedicaidSC
003128677BMedicaidGA
003128677AMedicaidGA

Other names 1

  • Miss Sarah Caroline Sanders 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
I20121101000523 GA Practitioner - Physician Assistant 9133379902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of South Carolina School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

127 Telfair St
Augusta, GA 30901-2590
Phone (706) 922-0600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006624GAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Community Health Services Augusta, Inc. Current Accepting new patients
Christ Community Health Services Augusta, Inc CurrentSince Oct 15, 2012 Accepting new patients
Christ Community Health Services Augusta, Inc Past Accepting new patients
Christ Community Health Services Augusta, Inc Past Accepting new patients

Locations

1226 Dantignac St
Augusta, GA 30901
Phone (706) 922-0600

1226 Dantignac St
#D
Augusta, GA 30901

127 Telfair St
Augusta, GA 30901
Phone (706) 922-0600

Interoperability endpoints

  • Direct secure messaging: sarah.eckley@cchsa.eclinicaldirectplus.com

Organizations & group practices 4

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": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1326390741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2344",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309032344",
            "telephone_number": "706-922-0600",
            "fax_number": "706-922-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 DANTIGNAC ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012788",
            "telephone_number": "706-922-0600",
            "fax_number": "706-922-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKLEY",
        "first_name": "SARAH",
        "middle_name": "SANDERS",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "006624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1546PA",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003128677B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003128677A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "SANDERS",
            "middle_name": "CAROLINE",
            "prefix": "MISS",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.