Active NPI
Sara Marder, M.D.
- Maternal & Fetal Medicine Physician
- Atlanta, GA
National Provider Identifier
1336201508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 036814
- Practice address
- 980 Johnson Ferry Rd NE
Suite 620
Atlanta, GA 30342-1626 - Phone
- (404) 255-2057
- Fax
- (404) 256-4238
- NPI assigned
- Dec 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 036814 | GA | Primary |
Addresses
Primary practice location
980 Johnson Ferry Rd NE
Suite 620
Atlanta, GA 30342-1626
Mailing address
980 Johnson Ferry Rd NE
Suite 620
Atlanta, GA 30342-1626
Phone (404) 255-2057
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4671310 | Other | GA | AETNA PROV ID |
| 390507 | Other | GA | BCBS PIN NUMBER |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080529000003 | GA | Practitioner - Obstetrics/Gynecology | 9436229812 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pediatrix Medical Group of Georgia, P.C.
Practice addresses (Care Compare)
960 Johnson Ferry Rd
Suite 215
Atlanta, GA 30342-1601
Phone (404) 847-1592
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrix Medical Group of Georgia, P.C. | Maternal & Fetal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Neonatal-Perinatal Medicine Physician
- Sunrise, FL
- NPI 1295827574
GA, Maternal & Fetal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336201508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 JOHNSON FERRY RD NE",
"address_2": "SUITE 620",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421626",
"telephone_number": "404-255-2057",
"fax_number": "404-256-4238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 JOHNSON FERRY RD NE",
"address_2": "SUITE 620",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421626",
"telephone_number": "404-255-2057",
"fax_number": "404-256-4238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARDER",
"first_name": "SARA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "GA",
"license": "036814",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROV ID",
"identifier": "4671310",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PIN NUMBER",
"identifier": "390507",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.