Individual provider Active NPI

Carly Wham Sayers, NP-C

  • Nurse Practitioner
  • Athens, GA
National Provider Identifier
1336556653
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN177223 Issued in GA
Practice address
740 Prince Ave
Building 15
Athens, GA 30606-5908
Phone
(706) 548-0008
Fax
(706) 369-9673
NPI assigned
Jul 18, 2014
Reactivated
Sep 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN177223 GA Primary

Addresses

Primary practice location

740 Prince Ave
Building 15
Athens, GA 30606-5908

Mailing address

340 N Milledge Ave Ste B
Athens, GA 30601-3806
Phone (706) 548-0008

Other names 1

  • Carly Elizabeth Wham 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
I20150406001735 GA Practitioner - Nurse Practitioner 2668790528 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aga Professional Services LLCGroup PAC ID 3870768997, 175 clinicians

Practice addresses (Care Compare)

1800 Howell Mill Rd NW
Suite 600
Atlanta, GA 30318-0920
Phone (404) 351-9512

340 N Milledge Ave
Suite B
Athens, GA 30601-3806
Phone (406) 548-0008

488 Kennesaw Ave NW
Suite 200
Marietta, GA 30060-9409
Phone (770) 427-3075

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.39 of 100Reported as group
Quality
44.91
Promoting interoperability
98
Improvement activities
40
Cost
71.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN177223GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aga Professional Services, LLC CurrentSince Nov 15, 2014 Accepting new patients
Aga Clinical Services, LLC CurrentSince Dec 16, 2019 Accepting new patients
Aga, LLC CurrentSince Nov 15, 2014 Accepting new patients

Locations

340 N Milledge Ave
Ste B
Athens, GA 30601
Phone (706) 548-0008

740 Prince Ave
Ste 15
Athens, GA 30606
Phone (706) 548-0008

218 Hospital Dr
#C
Blairsville, GA 30512
Phone (706) 400-5668

488 Kennesaw Ave NW
Ste 200
Marietta, GA 30060
Phone (770) 427-3075

2520 Windy Hill Rd SE
Ste 102
Marietta, GA 30067
Phone (770) 612-8165

2401 Newnan Crossing Blvd E
Ste 110
Newnan, GA 30265
Phone (678) 631-4610

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1305 Jennings Mill Rd
Ste 260
Watkinsville, GA 30677
Phone (706) 548-0008

Interoperability endpoints

  • Direct secure messaging: carly.sayers@ud.eclinicaldirectplus.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d88010de-d791-42d4-b72d-513f9afc5ed1/

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1336556653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 N MILLEDGE AVE STE B",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306013806",
            "telephone_number": "706-548-0008",
            "fax_number": "706-369-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 PRINCE AVE",
            "address_2": "BUILDING 15",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065908",
            "telephone_number": "706-548-0008",
            "fax_number": "706-369-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYERS",
        "first_name": "CARLY",
        "middle_name": "WHAM",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2018-02-01",
        "deactivation_date": "2014-08-19",
        "reactivation_date": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN177223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "WHAM",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.