Active NPI
Sara Guest, FNP
- Family Nurse Practitioner
- Athens, GA
National Provider Identifier
1669452538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN127374
- Practice address
- 1230 Baxter St
Athens, GA 30606-3712 - Phone
- (706) 543-3449
- Fax
- (706) 543-5744
- NPI assigned
- Jan 18, 2006
- Last updated
- Oct 8, 2008
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN127374 | GA | Primary |
Addresses
Primary practice location
1230 Baxter St
Athens, GA 30606-3712
Mailing address
PO Box 48298
Athens, GA 30604-8298
Phone (706) 543-3449
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GRP4155 | Other | MEDICARE GROUP NUMBER | |
| 000904725E | Medicaid | GA | |
| 000904725C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18647 | TN | MD | Family Medicine Physician |
| RN123486 | GA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223424000000",
"number": "1669452538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 48298",
"city": "ATHENS",
"state": "GA",
"postal_code": "306048298",
"telephone_number": "706-543-3449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 BAXTER ST",
"city": "ATHENS",
"state": "GA",
"postal_code": "306063712",
"telephone_number": "706-543-3449",
"fax_number": "706-543-5744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUEST",
"first_name": "SARA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-18",
"last_updated": "2008-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN127374",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "GRP4155",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000904725E",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000904725C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.