Individual provider Active NPI

Sara Beth Kashuk Morris, M.D.

  • Obstetrics & Gynecology Physician
  • Marietta, GA
National Provider Identifier
1487910501
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
080832 Issued in GA
Practice address
4800 Olde Towne Pkwy Ste 350
Marietta, GA 30068-4396
Phone
(770) 977-1510
Fax
(770) 509-8858
NPI assigned
Apr 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 080832 GA Primary

Addresses

Primary practice location

4800 Olde Towne Pkwy Ste 350
Marietta, GA 30068-4396

Mailing address

5780 Peachtree Dunwoody Rd Ste 300
Atlanta, GA 30342-1513
Phone (404) 303-1224

Other identifiers 3

IdentifierTypeStateIssuer
300034164AMedicaidGA
283578OtherNYNYS MEDICAL LICENSE
GRP3569OtherGAMEDICARE OPTOUT

Other names 1

  • Sara Kashuk Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190808000273 GA Practitioner - Obstetrics/Gynecology 2062706864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Women'S Health Group PCGroup PAC ID 1951396639, 61 clinicians

Practice addresses (Care Compare)

4800 Olde Towne Pkwy
Suite 350
Marietta, GA 30068-4396
Phone (770) 977-1510

Hospital & facility affiliations

  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
080832GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Women'S Health Group, P.C. Obstetrics & Gynecology CurrentSince May 13, 2019 Accepting new patients
Atlanta Women'S Health Group, P.C. CurrentSince May 13, 2019 Accepting new patients
Northside Northpoint OB GYN 2 LLC Obstetrics & Gynecology Past Accepting new patients

Locations

3905 Brookside Pkwy
Ste 102
Alpharetta, GA 30022
Phone (470) 394-2657

1800 Peachtree St NW
Ste 455
Atlanta, GA 30309
Phone (404) 419-4400

11459 Johns Creek Pkwy
Ste 200
Johns Creek, GA 30097
Phone (770) 623-0910

4800 Olde Towne Pkwy
Ste 350
Marietta, GA 30068
Phone (470) 407-2407

5780 Peachtree Dunwoody Rd
Ste 295
Sandy Springs, GA 30342
Phone (404) 255-0621

5780 Peachtree Dunwoody Rd
Ste 195
Sandy Springs, GA 30342
Phone (770) 544-2226

5780 Peachtree Dunwoody Rd
Ste 300
Sandy Springs, GA 30342
Phone (404) 252-1137

5780 Peachtree Dunwoody Rd
Sandy Springs, GA 30342
Phone (404) 255-0621

5780 Peachtree Dunwoody Rd
Ste 175
Sandy Springs, GA 30342
Phone (678) 651-2840

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1487910501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5780 PEACHTREE DUNWOODY RD STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421513",
            "telephone_number": "404-303-1224",
            "fax_number": "404-303-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 OLDE TOWNE PKWY STE 350",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684396",
            "telephone_number": "770-977-1510",
            "fax_number": "770-509-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "SARA",
        "middle_name": "BETH KASHUK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "080832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300034164A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS MEDICAL LICENSE",
            "identifier": "283578",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OPTOUT",
            "identifier": "GRP3569",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "KASHUK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.