Individual provider Active NPI

Sabrena Patram, FNP

  • Family Nurse Practitioner
  • Snellville, GA
National Provider Identifier
1417703281
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN187721 Issued in GA
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

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN187721GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mahon Family Medicine CurrentSince May 17, 2024 Accepting new patients
Mountainview Eye Associates, P.C. PastSince Apr 28, 2024 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.

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

Verify at the official NPI Registry.