Active NPI
Sarah Shaw Dermes, PA-C
- Physician Assistant
- Charlotte, NC
National Provider Identifier
1346940327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1315 Harding PL Apt 421
Charlotte, NC 28204-3545 - Phone
- (717) 315-9087
- NPI assigned
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1315 Harding PL Apt 421
Charlotte, NC 28204-3545
Mailing address
1315 Harding PL Apt 421
Charlotte, NC 28204-3545
Phone (717) 315-9087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- sdermes2866698@carolinashealthcaresystem.direct-ci.com
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.
-
- Emergency Medicine Physician
- Kings Mountain, NC
- NPI 1285952671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1346940327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 HARDING PL APT 421",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043545",
"telephone_number": "717-315-9087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 HARDING PL APT 421",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043545",
"telephone_number": "717-315-9087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERMES",
"first_name": "SARAH",
"middle_name": "SHAW",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-07",
"last_updated": "2024-02-22",
"certification_date": "2024-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Dermatologic Surgery of the Carolinas LLC
- Dermatology Care of Charlotte, PA
- Dermatology Laser and Vein Specialists of the Carolina'S, PLLC
- Dermatology Practice of the Carolinas PA
- Dermatology Specialists of Charlotte PA
- Jenna A. Derosa
- Elizabeth Derouin, PHD
- Ryan Derouin
- Sheetal Desai-Oghra, MD
- Ami Kashyap Desai, RD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.