Individual provider Active NPI

Sara A. Staley, PA

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1568859858
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3380 Issued in TN
Practice address
601 Benton Ave
Nashville, TN 37204
Phone
(615) 292-9770
NPI assigned
Apr 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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 3380 TN Primary

Addresses

Primary practice location

601 Benton Ave
Nashville, TN 37204

Mailing address

601 Benton Ave
Nashville, TN 37204-2303
Phone (152) 929-7706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20181024001447 TN Practitioner - Physician Assistant 3072820331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Emory University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians

Practice addresses (Care Compare)

300 20TH Ave N
Nashville, TN 37203-2131
Phone (615) 284-1400

4928 Edmonson Pike
Suite 205
Nashville, TN 37211-4791
Phone (615) 222-1400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3380TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners CurrentSince Jun 1, 2023 Accepting new patients
Saint Thomas Medical Partners CurrentSince Jun 1, 2023 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Apr 20, 2015 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Apr 20, 2015 Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

80 Jesse Hill Jr Dr SE
#88
Atlanta, GA 30303
Phone (404) 616-0879

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

4928 Edmonson Pike
Ste 205
Nashville, TN 37211
Phone (615) 222-1400

300 20th Ave N
Fl 9
Nashville, TN 37203

Interoperability endpoints

  • Direct secure messaging: sara.staley.1@7654.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/7654/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1568859858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BENTON AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372042303",
            "telephone_number": "152-929-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BENTON AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37204",
            "telephone_number": "615-292-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALEY",
        "first_name": "SARA",
        "middle_name": "A.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-24",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.