Active NPI
Sara Johnson Brown, NP
- Nurse Practitioner
- Bolivia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 200226
- Practice address
- 584 Hospital Dr NE
Ste. B
Bolivia, NC 28422-9047 - Phone
- (910) 721-4050
- Fax
- (910) 721-4051
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 200226 | NC | Primary |
Addresses
Primary practice location
584 Hospital Dr NE
Ste. B
Bolivia, NC 28422-9047
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (910) 721-4050
Other practice location 1
1809 Glen Meade Rd
Wilmington, NC 28403-6022
Phone (910) 763-9833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7000197 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sbrown40901@direct.novanthealth.org |
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, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14330 Oakhill Park LN
Suite 200
Huntersville, NC 28078-3407
Phone (704) 316-4830
1809 Glen Meade Rd
Wilmington, NC 28403-6022
Phone (910) 763-9833
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200226 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group Coastal Region, LLC | Current | Accepting new patients | |
| Novant Health Medical Group LLC | Current | Accepting new patients | |
| NMG Health Services LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group Coastal Region, LLC | Current | Accepting new patients | |
| Health Sciences Foundation Inc. | Past | Accepting new patients |
Locations
584 Hospital Dr NE
Unit B
Bolivia, NC 28422
Phone (910) 662-9480
14330 Oakhill Park Ln
Ste 200
Huntersville, NC 28078
Phone (704) 316-1265
800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164
2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000
2221 S 17th St
Wilmington, NC 28401
Phone (910) 662-7720
1809 Glen Meade Rd
Wilmington, NC 28403
Phone (910) 763-9833
Organizations & group practices 6
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.
-
- Cardiovascular Disease Physician
- Wilmington, NC
- NPI 1649865791
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Maternal & Fetal Medicine Physician
- Bolivia, NC
- NPI 1558242495
-
- Obstetrics & Gynecology Physician
- Wilmington, NC
- NPI 1841876307
-
- Obstetrics & Gynecology Physician
- Huntersville, NC
- NPI 1477276699
-
- Internal Medicine Physician
- Wilmington, NC
- NPI 1942288600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1629008149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "910-721-4050",
"fax_number": "910-721-4051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "584 HOSPITAL DR NE",
"address_2": "STE. B",
"city": "BOLIVIA",
"state": "NC",
"postal_code": "284229047",
"telephone_number": "910-721-4050",
"fax_number": "910-721-4051"
}
],
"practiceLocations": [
{
"address_1": "1809 Glen Meade Rd",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284036022",
"country_code": "US",
"telephone_number": "910-763-9833",
"fax_number": "910-763-5166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "SARA",
"middle_name": "JOHNSON",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "200226",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7000197",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sbrown40901@direct.novanthealth.org",
"affiliation": "N",
"address_1": "584 Hospital Dr NE",
"address_2": "Ste. B",
"city": "Bolivia",
"state": "NC",
"country_code": "US",
"postal_code": "284229047",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bolivia, NC
- Heather C Braithwaite, MD
- Christopher Adams Brann, MD
- Justin Bridge
- Nicholas Matthew Brooker, PT, DPT
- Laura Brown, M.ED, CCC-SLP
- Brunswick Community College Interagency Program
- Brunswick Community Hospital, LLC
- Brunswick Community Hospital, LLC
- Brunswick Community Hospital, LLC
- Brunswick County Health Department
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.