Sagar Serene

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

SAGAR SERENE

Practice address

603 Post KNL
Griffin, GA 30224-4570

Phone

(520) 678-2292

Fax

(520) 678-2292

NPI assigned

Jan 24, 2026

Last updated

Jan 24, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Carl D Nelson Jr.

Title

Authorized User

Phone

(520) 678-2292

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1769212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769212800000",
    "number": "1649129511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 POST KNL",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244570",
            "telephone_number": "520-678-2292",
            "fax_number": "520-678-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 POST KNL",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244570",
            "telephone_number": "520-678-2292",
            "fax_number": "520-678-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGAR SERENE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-24",
        "last_updated": "2026-01-24",
        "certification_date": "2026-01-24",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "AUTHORIZED USER",
        "authorized_official_telephone_number": "520-678-2292",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Peer Specialist in Griffin, GA
• Providers in Griffin, GA by specialty
• Peer Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.