Individual provider Active NPI

Sarah Grace Jeniolionis, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Riverdale, GA
National Provider Identifier
1346051075
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN333669 Issued in GA
Practice address
237 Upper Riverdale Rd SW
Riverdale, GA 30274-2537
Phone
(678) 834-7589
NPI assigned
Jan 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN333669 GA Primary

Addresses

Primary practice location

237 Upper Riverdale Rd SW
Riverdale, GA 30274-2537

Mailing address

237 Upper Riverdale Rd SW
Riverdale, GA 30274-2537
Phone (678) 834-7589

Other practice location 1

528 Forest Pkwy Ste A
Forest Park, GA 30297-6109
Phone (404) 968-9469

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
I20250409002669 GA Practitioner - Nurse Practitioner 8628592839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Ahmed Family Practice LLC 3 clinicians

Practice addresses (Care Compare)

528 Forest Pkwy
Suite a
Forest Park, GA 30297-6109
Phone (404) 968-9469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ahmed Family Practice LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

528 Forest Pkwy
Ste A
Forest Park, GA 30297
Phone (404) 366-9990

237 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 909-5003

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.

NPI Registry JSON

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1346051075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 UPPER RIVERDALE RD SW",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742537",
            "telephone_number": "678-834-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 UPPER RIVERDALE RD SW",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742537",
            "telephone_number": "678-834-7589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "528 Forest Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Forest Park",
            "state": "GA",
            "postal_code": "302976109",
            "country_code": "US",
            "telephone_number": "404-968-9469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENIOLIONIS",
        "first_name": "SARAH",
        "middle_name": "GRACE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN333669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

Verify at the official NPI Registry.