Sara Schupp

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN289960 Issued in GA

Practice address

1780 Peachtree Pkwy
Cumming, GA 30041-6834

Phone

(770) 772-1830

NPI assigned

Feb 5, 2021

Last updated

Jun 7, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, VA2 enrollments

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.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Physician's Express Care at Towne Lake LLC

  • Urgent Care Clinic/Center
  • Woodstock, GA
  • NPI 1902230329
  Medicare reassignment NPD
• Physicians Express Care LLC

  • Urgent Care Clinic/Center
  • Alpharetta, GA
  • NPI 1528336674
  Medicare reassignment NPD
• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480
  Medicare reassignment NPD
• Physician's Express Care at Creekstone

  • Urgent Care Clinic/Center
  • Cumming, GA
  • NPI 1578955795
  NPD
• Physicians Express Care LLC

  dba Physician's Express Care

  • Urgent Care Clinic/Center
  • Alpharetta, GA
  • NPI 1487046603
  NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1437741006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 PEACHTREE PKWY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416834",
            "telephone_number": "770-772-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 PEACHTREE PKWY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416834",
            "telephone_number": "770-772-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUPP",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN289960",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN289960",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Taylor Schott, PA-C
• Catherine Schueman, MSW
• Kyle Christian Schufreider, MS,OTR/L
• Beverly Davis Schuler, D.O
• Courtney Rose Schuler, MS, OTR/L
• Joseph Anthony Sciarrino, M.D.
• Natalie Vercillo Sciarrino, M.D.
• Jillian Kelsey Scoggins
• Cherrelle Scott
• Jaime Lynn Scott, NNP

• Family Nurse Practitioner in Cumming, GA
• Providers in Cumming, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.

Verify at the official NPI Registry.