Individual provider Active NPI

Sara Mullinax Darden, MMSC, PA-C

  • Physician Assistant
  • Canton, GA
National Provider Identifier
1417346156
Registry record updated Jan 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
12062 Issued in GA
Practice address
470 Northside Cherokee Blvd Ste 160
Canton, GA 30115-8029
Phone
(770) 721-9050
Fax
(770) 721-9051
NPI assigned
Jan 19, 2015
Last updated
Jan 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4761 TN
Physician Assistant 363A00000X 12062 GA Primary
Surgical Physician Assistant 363AS0400X 4761 TN

Addresses

Primary practice location

470 Northside Cherokee Blvd Ste 160
Canton, GA 30115-8029

Mailing address

470 Northside Cherokee Blvd Ste 160
Canton, GA 30115-8029
Phone (770) 721-9050

Other practice location 1

725 Glenwood Dr Ste 486&E790
Chattanooga, TN 37404-1163
Phone (423) 206-4140

Other practice location 2

2525 DeSales Ave
Chattanooga, TN 37404-1161
Phone (423) 206-4140

Other names 1

  • Sara Elizabeth Mullinax Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TN, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160315000984 LA Practitioner - Physician Assistant 5193021384 Reassigns benefits to 2 organizations
I20211102001404 TN Practitioner - Physician Assistant 5193021384 Reassigns benefits to 1 organization
I20240201000257 GA Practitioner - Physician Assistant 5193021384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Joint Surgery Specialists, LLCGroup PAC ID 2961795190, 46 clinicians

Practice addresses (Care Compare)

3400 A Old Milton Pkwy
Alpharetta, GA 30005-4438
Phone (770) 667-4343

450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone (770) 224-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4761TNMDProfessional Counselor
12062GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince May 27, 2020 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Feb 1, 2016 Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Dec 1, 2021 Accepting new patients
Administrators of the Tulane Education Fund CurrentSince Feb 1, 2016 Accepting new patients
Memorial Health Partners Foundation, Inc CurrentSince Dec 1, 2021 Accepting new patients
Ochsner Clinic LLC CurrentSince May 27, 2020 Accepting new patients
Northside Surgical Professional Services LLC Past Accepting new patients
Northside Cardiovascular Professional Services, LLC PastSince Jan 7, 2024 Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients
Tulane University Medical Group Past Accepting new patients

Locations

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1949 Gunbarrel Rd
Ste 206
Chattanooga, TN 37421
Phone (423) 495-4345

2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCFJBA

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704499200000",
    "number": "1417346156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 NORTHSIDE CHEROKEE BLVD STE 160",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301158029",
            "telephone_number": "770-721-9050",
            "fax_number": "770-721-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 NORTHSIDE CHEROKEE BLVD STE 160",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301158029",
            "telephone_number": "770-721-9050",
            "fax_number": "770-721-9051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Glenwood Dr Ste 486&E790",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374041163",
            "country_code": "US",
            "telephone_number": "423-206-4140",
            "fax_number": "423-206-4141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 DeSales Ave",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374041161",
            "country_code": "US",
            "telephone_number": "423-206-4140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DARDEN",
        "first_name": "SARA",
        "middle_name": "MULLINAX",
        "credential": "MMSC, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-19",
        "last_updated": "2024-01-06",
        "certification_date": "2024-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4761",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "12062",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "4761",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "MULLINAX",
            "middle_name": "ELIZABETH",
            "credential": "MMSC, PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.