Individual provider Active NPI

Sarah Ann Freeman, PA-C

  • Physician Assistant
  • Acworth, GA
National Provider Identifier
1467897173
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6781 Issued in GA
Practice address
4550 Cobb Parkway North NW
Suite 101
Acworth, GA 30101-4180
Phone
(470) 956-0100
Fax
(770) 529-0279
NPI assigned
May 8, 2013
Last updated
Nov 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6781 GA Primary

Addresses

Primary practice location

4550 Cobb Parkway North NW
Suite 101
Acworth, GA 30101-4180

Mailing address

4550 Cobb Parkway North NW
Suite 101
Acworth, GA 30101-4180
Phone (470) 956-0100

Other practice location 1

3600 Sandy Plains Rd
Marietta, GA 30066-3020
Phone (770) 977-4547

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sfreeman39882@directwellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20130617000331 GA Practitioner - Physician Assistant 4284873639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

12460 Crabapple Rd
Suite 901
Alpharetta, GA 30004-6392
Phone (678) 762-0574

2710 Fairburn Rd
Douglasville, GA 30135-2942
Phone (943) 202-8640

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6781GAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince May 13, 2013 Accepting new patients
Wellstar Medical Group, LLC CurrentSince May 13, 2013 Accepting new patients

Locations

4550 Cobb Parkway North NW
Ste 101
Acworth, GA 30101
Phone (470) 956-0100

5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

3600 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 977-4547

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1467897173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 COBB PARKWAY NORTH NW",
            "address_2": "SUITE 101",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014180",
            "telephone_number": "470-956-0100",
            "fax_number": "770-529-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 COBB PARKWAY NORTH NW",
            "address_2": "SUITE 101",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014180",
            "telephone_number": "470-956-0100",
            "fax_number": "770-529-0279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Sandy Plains Rd",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300663020",
            "country_code": "US",
            "telephone_number": "770-977-4547",
            "fax_number": "770-977-8354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-08",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "6781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sfreeman39882@directwellstar.org",
            "affiliation": "N",
            "address_1": "3600 Sandy Plains Rd",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300663020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

Verify at the official NPI Registry.