Lauren Sack, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

6383 Issued in GA

Practice address

16915 Highway 67 Ste a
Statesboro, GA 30458-5819

Phone

(912) 681-2500

Fax

(912) 681-2025

NPI assigned

Mar 22, 2012

Last updated

Mar 17, 2018By the provider in NPPES

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 3

Other names 1

• Lauren Higgins Former name

Medicare fee-for-service enrollment

Enrolled in GA

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optim Orthopedics LLCGroup PAC ID 9931427002, 101 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• East Georgia Regional Medical Center Hospital, Statesboro, GA, CCN 110075

Merit-based Incentive Payment System (MIPS)

Final score

54.22 of 100Reported as group

Quality

71.46

Promoting interoperability

0

Improvement activities

40

Cost

59.28

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lauren.sack.1@16403.direct.athenahealth.com

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.

• Optim Orthopedics, LLC

  dba Optim Orthopedics

  • Orthopaedic Surgery Physician
  • Savannah, GA
  • NPI 1780077982
  Medicare reassignment Care Compare group
• Tattnall Hospital Company, LLC

  dba Optim Medical Center - Tattnall

  • Critical Access Hospital
  • Reidsville, GA
  • NPI 1790942381
  Medicare reassignment NPD (past)
• Montgomery Emergency Group, LLC

  • Emergency Medicine Physician
  • Vidalia, GA
  • NPI 1861773764
  Medicare reassignment
• Wayne Emergency Group LLC

  • Emergency Medicine Physician
  • Jesup, GA
  • NPI 1982828943
  Medicare reassignment
• Optim Orthopedics, LLC

  dba Optim Orthopedics

  • Orthopaedic Surgery Physician
  • Jesup, GA
  • NPI 1467845404
  NPD
• Optim Orthopedics, LLC

  dba Optim Orthopedics

  • Orthopaedic Surgery Physician
  • Brunswick, GA
  • NPI 1487047726
  NPD
• Tattnall Hospital Company LLC

  dba Optim Medical Center Tattnall Rincon

  • Neurological Surgery Physician
  • Rincon, GA
  • NPI 1487439832
  NPD
• Tattnall Hospital Company, LLC

  dba Optim Medical Center Tattnall Sylvania

  • Orthopaedic Surgery Physician
  • Sylvania, GA
  • NPI 1386455376
  NPD
• Optim Orthopedics, LLC

  dba Optim Orthopedics

  • Orthopaedic Surgery Physician
  • Richmond Hill, GA
  • NPI 1548653330
  NPD (past)
• Optim Orthopedics, LLC

  dba Optim Orthopedics

  • Orthopaedic Surgery Physician
  • Midway, GA
  • NPI 1821639758
  NPD (past)
• Tattnall Hospital Company LLC

  dba Optim Medical Center-Tattnall Reidsville

  • Orthopaedic Surgery Physician
  • Reidsville, GA
  • NPI 1518613728
  NPD (past)
• Tattnall Hospital Company, LLC

  dba Optim Medical Center - Tattnall

  • Pain Medicine Physician
  • Hinesville, GA
  • NPI 1326409442
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• East Georgia Regional Medical Center, LLC

  • General Acute Care Hospital
  • Statesboro, GA
  • NPI 1265486278
  Care Compare affiliation

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1386919405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E DERENNE AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056736",
            "telephone_number": "912-644-5300",
            "fax_number": "912-644-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16915 HIGHWAY 67 STE A",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585819",
            "telephone_number": "912-681-2500",
            "fax_number": "912-681-2025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1702 Meadows Ln",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Vidalia",
            "state": "GA",
            "postal_code": "304747219",
            "country_code": "US",
            "telephone_number": "912-538-0984",
            "fax_number": "912-538-0984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "961 E Winthrope Ave",
            "address_purpose": "LOCATION",
            "city": "Millen",
            "state": "GA",
            "postal_code": "304421839",
            "country_code": "US",
            "telephone_number": "478-982-0120",
            "fax_number": "912-644-5260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "247 S Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Reidsville",
            "state": "GA",
            "postal_code": "304534605",
            "country_code": "US",
            "telephone_number": "912-557-8990",
            "fax_number": "912-644-5260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1702 Meadows Ln",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Vidalia",
            "state": "GA",
            "postal_code": "304747219",
            "country_code": "US",
            "telephone_number": "912-538-0984",
            "fax_number": "912-538-0984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 E DeRenne Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314056736",
            "country_code": "US",
            "telephone_number": "912-644-5300",
            "fax_number": "912-644-5241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16915 Highway 67 Ste A",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304585819",
            "country_code": "US",
            "telephone_number": "912-681-2500",
            "fax_number": "912-681-2025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 E DeRenne Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314056736",
            "country_code": "US",
            "telephone_number": "912-644-5300",
            "fax_number": "912-644-5241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SACK",
        "first_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "6383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003134896C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003134896E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003134896D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "HIGGINS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chris Jay Roy Jr., O.D.
• Meridith Britt Rubio, CCC-SLP
• Ryan Family Chiropractic, Inc.
• Jason R Ryan, D.C.
• Colleen Sacco
• Safe to Shore Counseling
• Neil Saha
• Gwyn Salguero
• Jada Sams
• David P Samuels, DO

• Physician Assistant in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.