Individual provider Active NPI

Paul V Saby, RPA-C

  • Medical Physician Assistant
  • Atlanta, GA
National Provider Identifier
1528362894
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
8575 Issued in GA
Practice address
2292 Peachtree Rd NW
Atlanta, GA 30309-1147
Phone
(404) 996-0120
Fax
(404) 351-6762
NPI assigned
Dec 30, 2010
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 014541 NY
Medical Physician Assistant 363AM0700X 8575 GA Primary

Addresses

Primary practice location

2292 Peachtree Rd NW
Atlanta, GA 30309-1147

Mailing address

1872 Hampton Grove Way
Dacula, GA 30019-1532
Phone (646) 645-5183

Other practice location 1

1401 Franklin Ave
Garden City, NY 11530-1613
Phone (516) 877-2626

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
I20180724001254 GA Practitioner - Physician Assistant 6709060486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

1034 Old Peachtree Rd NW
Lawrenceville, GA 30043-3308
Phone (678) 335-5400

1605 Pleasant Hill Rd
Duluth, GA 30096-4619
Phone (678) 712-5800

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

2637 Peachtree Pkwy
Suwanee, GA 30024-1048
Phone (678) 660-5137

2925 Buford Dr
Apt 1110
Buford, GA 30519-5222
Phone (678) 535-0400

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
014541NYMDMental Health Counselor
008575GAMDEmergency Medicine Physician
8575GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet of Georgia PC CurrentSince Jan 15, 2021 Accepting new patients
Winthrop Community Medical Affiliates, P.C. CurrentSince Mar 1, 2016 Accepting new patients
Reagan Medical Center LLC CurrentSince Dec 31, 2017 Accepting new patients

Locations

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

3350 Riverwood Pkwy SE
Ste 1850
Atlanta, GA 30339
Phone (770) 809-3036

4475 W Village Pkwy
Ellenwood, GA 30294
Phone (716) 580-7208

2878 Five Forks Trickum Rd
Ste 2A
Lawrenceville, GA 30044
Phone 6783448700178

700 Hicksville Rd
Ste 204
Bethpage, NY 11714
Phone (516) 576-5812

1401 Franklin Ave
Garden City, NY 11530
Phone (516) 541-0300

340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064

875 Old Country Rd
Ste 102
Plainview, NY 11803
Phone (516) 605-2900

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": "1293667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1528362894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1872 HAMPTON GROVE WAY",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191532",
            "telephone_number": "646-645-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2292 PEACHTREE RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091147",
            "telephone_number": "404-996-0120",
            "fax_number": "404-351-6762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Franklin Ave",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "NY",
            "postal_code": "115301613",
            "country_code": "US",
            "telephone_number": "516-877-2626",
            "fax_number": "516-877-0945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABY",
        "first_name": "PAUL",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-30",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "014541",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "8575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.