Sarah Siddiqui, MS, LCGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

Practice address

320 Kennestone Hospital Blvd Ste 216
Marietta, GA 30060-1140

Phone

(470) 793-7472

Fax

(770) 999-2323

NPI assigned

Sep 18, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Wellstar Cardiovascular Medicine, LLC

  • Cardiovascular Disease Physician
  • Marietta, GA
  • NPI 1457320319
  NPD (past)

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1336518521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4186 RIVERHILL CT NE",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751995",
            "telephone_number": "260-402-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 KENNESTONE HOSPITAL BLVD STE 216",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601140",
            "telephone_number": "470-793-7472",
            "fax_number": "770-999-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "SARAH",
        "name_prefix": "Ms.",
        "credential": "MS, LCGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adellaide Shyngle
• Amanda J Sibai, PA-C
• Cary Sibley, APC
• Madhavi Latha Siddhanthi, M.D
• Reaz Siddiqui, M.D.
• Sherlyne Sidney, PT
• Jordan Leslie Siegall, CCC-SLP
• Burton Everett Siegel, M.D.
• Sheri Michelle Siegel, PH.D.
• Luke Alexander Bradford Siegmann, PT, DPT, OCS

• Genetic Counselor (M.S.) in Marietta, GA
• Providers in Marietta, GA by specialty
• Genetic Counselor (M.S.) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.