Active NPI
Sabrena Patram, FNP
- Family Nurse Practitioner
- Snellville, GA
National Provider Identifier
1417703281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN187721
- Practice address
- 1786 Oak Rd
Snellville, GA 30078-2220 - Phone
- (770) 925-2526
- NPI assigned
- Apr 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN187721 | GA | Primary |
Addresses
Primary practice location
1786 Oak Rd
Snellville, GA 30078-2220
Mailing address
1786 Oak Rd Ste B
Snellville, GA 30078-2220
Phone (404) 518-8002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN187721 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mahon Family Medicine | Current | Accepting new patients | |
| Mountainview Eye Associates, P.C. | Past | Accepting new patients |
Locations
1786 Oak Rd
Ste B
Snellville, GA 30078
Phone (770) 325-2526
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Snellville, GA
- NPI 1629318035
-
- Optometrist
- Snellville, GA
- NPI 1639344278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1417703281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1786 OAK RD STE B",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300782220",
"telephone_number": "404-518-8002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1786 OAK RD",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300782220",
"telephone_number": "770-925-2526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRAM",
"first_name": "SABRENA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-24",
"last_updated": "2024-05-01",
"certification_date": "2024-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN187721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.