Sarah-Elizabeth R Sewak Nichols, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.1286 Issued in AL

Practice address

3825 Lorna Rd Ste 240
Birmingham, AL 35244-3003

Phone

(205) 988-3733

Fax

(205) 985-4431

NPI assigned

Dec 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stacy J Haynes MD PCGroup PAC ID 4688691470, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: nichols8688gmail.com@drstacyhaynes.emadirect.md

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.

• Stacy J Haynes MD PC

  • Dermatology Physician
  • Birmingham, AL
  • NPI 1437289865
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1366957896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 LORNA RD STE 240",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352443003",
            "telephone_number": "205-988-3733",
            "fax_number": "205-985-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 LORNA RD STE 240",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352443003",
            "telephone_number": "205-988-3733",
            "fax_number": "205-985-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWAK NICHOLS",
        "first_name": "SARAH-ELIZABETH",
        "middle_name": "R",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.1286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serve Home Health Care Agency, LLC
• Rae Lynn Sesanto, DDS
• Harold Prebble Settle Jr., M.D.
• Fred B Setzer Jr., OD
• Timothy Robert Sevcik, MD
• Jamie Brooke Sewell, C.P.N.P.
• Ginger Cole Sexton, CRNP
• Melissa Michelle Sexton, PT
• Macy Lin Seymour
• Monica P Sfakianos, R.PH.

• Physician Assistant in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.