Active NPI
Farah Edwidge Johanne Sajous, FNP-C
- Psychiatric/Mental Health Nurse Practitioner
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 50114431
- Practice address
- 2627 Grimsley St
Greensboro, NC 27403-3135 - Phone
- (336) 279-1227
- Fax
- (336) 279-1226
- NPI assigned
- Nov 5, 2018
- 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 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 50114431 | NC | |
| Case Manager/Care Coordinator | 171M00000X | 11000030 | FL | |
| Community/Behavioral Health Agency | 251S00000X | 50114431 | NC | |
| Community/Behavioral Health Agency | 251S00000X | 11000030 | FL | |
| Nurse Practitioner | 363L00000X | 50114431 | NC | |
| Nurse Practitioner | 363L00000X | 11000030 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | 50114431 | NC | |
| Adult Health Nurse Practitioner | 363LA2200X | 11000030 | FL | |
| Community Health Nurse Practitioner | 363LC1500X | 50114431 | NC | |
| Community Health Nurse Practitioner | 363LC1500X | 11000030 | FL | |
| Family Nurse Practitioner | 363LF0000X | 11000030 | FL | |
| Pediatric Nurse Practitioner | 363LP0200X | 50114431 | NC | |
| Pediatric Nurse Practitioner | 363LP0200X | 11000030 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11000030 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 50114431 | NC | Primary |
Addresses
Primary practice location
2627 Grimsley St
Greensboro, NC 27403-3135
Mailing address
2627 Grimsley St
Greensboro, NC 27403-3135
Other practice location 1
9351 Pinto Dr
Lake Worth, FL 33467
Phone (571) 432-6769
Other practice location 2
2627 Grimsley St
Greensboro, NC 27403-3135
Phone (336) 279-1227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609344977 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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 Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2627 Grimsley St
Greensboro, NC 27403-3135
Phone (336) 279-1227
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11000030 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
| 50114431 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Quest Care Services, LLC | Multi-Specialty | Current | Accepting new patients |
Locations
708 Summit Ave
Greensboro, NC 27405
Phone (336) 279-1227
2627 Grimsley St
Greensboro, NC 27403
Phone (336) 255-8203
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Greensboro, NC
- NPI 1265673651
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1609344977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2627 GRIMSLEY ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274033135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2627 GRIMSLEY ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274033135",
"telephone_number": "336-279-1227",
"fax_number": "336-279-1226"
}
],
"practiceLocations": [
{
"address_1": "9351 Pinto Dr",
"address_purpose": "LOCATION",
"city": "Lake Worth",
"state": "FL",
"postal_code": "33467",
"country_code": "US",
"telephone_number": "571-432-6769",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2627 Grimsley St",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "274033135",
"country_code": "US",
"telephone_number": "336-279-1227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAJOUS",
"first_name": "FARAH",
"middle_name": "EDWIDGE JOHANNE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-05",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NC",
"license": "50114431",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "FL",
"license": "11000030",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "50114431",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "FL",
"license": "11000030",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "50114431",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11000030",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "50114431",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "11000030",
"primary": false
},
{
"code": "363LC1500X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Community Health",
"state": "NC",
"license": "50114431",
"primary": false
},
{
"code": "363LC1500X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Community Health",
"state": "FL",
"license": "11000030",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11000030",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NC",
"license": "50114431",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "11000030",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "11000030",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "50114431",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1609344977",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.