Individual provider Active NPI

Sara Fox Thead, PA-C

  • Physician Assistant
  • Abingdon, VA
National Provider Identifier
1417505876
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
26208 Lee Hwy
Abingdon, VA 24211-7504
Phone
(276) 451-3044
NPI assigned
Aug 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X VA Primary
Physician Assistant 363A00000X 6078 TN

Addresses

Primary practice location

26208 Lee Hwy
Abingdon, VA 24211-7504

Mailing address

26208 Lee Hwy
Abingdon, VA 24211-7504
Phone (276) 451-3044

Other practice location 1

1913 Highway 394
Blountville, TN 37617-5416
Phone (423) 662-7002

Other names 1

  • Sara Catherine Fox Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20240723002334 TN Practitioner - Physician Assistant 3577895366 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000

1231 Volunteer Pkwy
Bristol, TN 37620-4627
Phone (423) 793-7223

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6078TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Jun 3, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jun 3, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC PastSince Jun 16, 2024 Accepting new patients
Abingdon Eye Associates, P.C. PastSince Nov 9, 2009 Accepting new patients

Locations

1913 Highway 394
Blountville, TN 37617
Phone (423) 662-7002

1913 Highway 394
Ste 2
Blountville, TN 37617
Phone (423) 662-6002

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

2280 S Shady St
Mountain City, TN 37683
Phone (423) 501-2165

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1417505876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26208 LEE HWY",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117504",
            "telephone_number": "276-451-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26208 LEE HWY",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117504",
            "telephone_number": "276-451-3044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1913 Highway 394",
            "address_purpose": "LOCATION",
            "city": "Blountville",
            "state": "TN",
            "postal_code": "376175416",
            "country_code": "US",
            "telephone_number": "423-662-7002",
            "fax_number": "423-662-7003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THEAD",
        "first_name": "SARA",
        "middle_name": "FOX",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "6078",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "FOX",
            "middle_name": "CATHERINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.