Individual provider Active NPI

Sarah S Kersey, PA-C

  • Physician Assistant
  • Rogersville, TN
National Provider Identifier
1346524865
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2045 Issued in TN
Practice address
4966 Highway 11W
Rogersville, TN 37857-6028
Phone
(423) 272-9163
Fax
(423) 921-6920
NPI assigned
Oct 3, 2011
Last updated
Oct 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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 2045 TN Primary

Addresses

Primary practice location

4966 Highway 11W
Rogersville, TN 37857-6028

Mailing address

PO Box 850
Rogersville, TN 37857-0850
Phone (423) 272-9163

Other names 1

  • Miss Sarah Saunders Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20111121000509 TN Practitioner - Physician Assistant 3476727835 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Maury Regional HospitalGroup PAC ID 4688569718, 31 clinicians

Practice addresses (Care Compare)

1080 N Ellington Pkwy
Lewisburg, TN 37091-2227
Phone (931) 359-6241

1090 N Ellington Pkwy
Suite 102
Lewisburg, TN 37091-2227
Phone (931) 359-0019

617 W Main St
Hohenwald, TN 38462-1355
Phone (931) 796-4901

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2045TNMDElectroneurodiagnostic Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Maury Regional Hospital Current Accepting new patients
Maury Regional Medical Group, Inc Physician Assistant CurrentSince Oct 24, 2021 Accepting new patients
Maury Regional Hospital Marshall Medical Center CurrentSince Oct 24, 2021 Accepting new patients
Maury Regional Hospital CurrentSince Jul 30, 2023 Accepting new patients
Maury Regional Hospital CurrentSince Jul 30, 2023 Accepting new patients

Locations

854 W James M Campbell Blvd
Ste 303
Columbia, TN 38401
Phone (931) 388-8779

617 W Main St
Hohenwald, TN 38462
Phone (931) 796-4901

1090 N Ellington Pkwy
Ste 102
Lewisburg, TN 37091
Phone (931) 359-0019

Organizations & group practices 7

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.

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": "1317600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1346524865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378570850",
            "telephone_number": "423-272-9163",
            "fax_number": "423-921-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4966 HIGHWAY 11W",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378576028",
            "telephone_number": "423-272-9163",
            "fax_number": "423-921-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSEY",
        "first_name": "SARAH",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "SAUNDERS",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rogersville, TN

Sources for this page

Verify at the official NPI Registry.