Active NPI
Sarah Chase, PA
- Physician Assistant
- Cumming, GA
National Provider Identifier
1588817399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 6841
- Practice address
- 2565 Mountain Rd
Cumming, GA 30040-2910 - Phone
- (770) 713-5537
- Fax
- (845) 818-7555
- NPI assigned
- Oct 24, 2008
- Last updated
- Aug 1, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 012923 | NY | |
| Physician Assistant | 363A00000X | 6841 | GA | Primary |
Addresses
Primary practice location
2565 Mountain Rd
Cumming, GA 30040-2910
Mailing address
111 Maltese Dr
Middletown, NY 10940-2115
Phone (845) 342-4774
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012923 | Other | NY | LICENSE |
| 6841 | Other | GA | LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6841 | GA | MD | Physician Assistant |
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.
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- NPI 1285686303
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- Emergency Medicine Physician
- Austell, GA
- NPI 1801965082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1588817399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 MALTESE DR",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109402115",
"telephone_number": "845-342-4774",
"fax_number": "845-818-7555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2565 MOUNTAIN RD",
"city": "CUMMING",
"state": "GA",
"postal_code": "300402910",
"telephone_number": "770-713-5537",
"fax_number": "845-818-7555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASE",
"first_name": "SARAH",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-24",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "012923",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "6841",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "012923",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "6841",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
- Darren Chan
- Sheimeita Chance, NURSE PRACTITIONER
- Emily Louise Chandler, M.ED., CCC-SLP
- Carla Michele Chapman, NCC,APC
- Mandi Charles, R.N.
- Callye Ann Chastain
- Kimberly Chastain, D.M.D.
- Chattahoochee Family Orthodontics
- Katherine Maria Chavarria
- CHC - Chestnut Ridge Nursing & Rehab Ctr, LLC (Chestnut Ridge Nursing & Rehab Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.