Sarah Maxwell-Sammons, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA879 Issued in KY

Practice address

789 Eastern Bypass
Suite 5
Richmond, KY 40475-7985

Phone

(859) 624-4110

Fax

(859) 624-1968

NPI assigned

Mar 24, 2006

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

Other identifiers 1

Other names 1

• Sarah Maxwell Former name

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  KY

  Medicare reassignment
• Marshall Emergency Services Associates, PLLC

  • Emergency Medicine Physician
  • Lexington, KY
  • NPI 1891737185

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1376503136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 EASTERN BYPASS",
            "address_2": "SUITE 5",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757985",
            "telephone_number": "859-624-4110",
            "fax_number": "859-624-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 EASTERN BYPASS",
            "address_2": "SUITE 5",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757985",
            "telephone_number": "859-624-4110",
            "fax_number": "859-624-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL-SAMMONS",
        "first_name": "SARAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95005971",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "MAXWELL",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kailee Matthews
• Tracy Lee Mattingly-Miller, LPCC,NCC
• Stephen P Mattingly, DMD
• Vonda Brock Mattingly, APRN, FNP-C
• Mae M Maupin-Story, R.D.
• Kristen Rebecca Maynard, M.S., SLP
• William J McAvoy, CRNA
• Maureen E McCabe, MD
• Dana McCarthy, BCBA
• Ashley McCarty

• All providers in Richmond, KY
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.

Verify at the official NPI Registry.