Sarah S Kersey, PA-C
Individual provider Active NPI Physician Assistant · Rogersville, TN
NPI 1346524865 · NPPES record last updated Oct 20, 2011
Key facts
- NPI
- 1346524865
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 2045 (TN)
- Practice address
- 4966 Highway 11W
Rogersville, TN 37857-6028 - Phone
- (423) 272-9163
- Fax
- (423) 921-6920
- NPI assigned
- Oct 3, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Maury Regional Hospital
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
- Marshall Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111121000509 | TN | Practitioner - Physician Assistant | 3476727835 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2045 | TN | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maury Regional Hospital | Current |
Accepting new patients | |
| Maury Regional Hospital Marshall Medical Center | Current |
Accepting new patients | |
| Maury Regional Hospital | Current | Accepting new patients | |
| Maury Regional Medical Group, Inc | Physician Assistant | Current |
Accepting new patients |
| Maury Regional Hospital | Past | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2045 | TN | Yes |
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
- Miss Sarah Saunders
Other providers in Rogersville, TN
- Joanne D Irvin
- Kathy Jo Isom
- James Jaynes Jr.
- K VA T Food Stores Inc
- Omar R. Kassem
- Tara Beth Kimbro
- Kimberly S Kirkpatrick
- Lindsey Raye Kiser
- Raymond J Krenzer
- Alaina M Kuebler
All providers in Rogersville, TN · Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.