Individual provider Active NPI

Sarah Prince Carlson, M.D.

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1669455382
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9900992 Issued in NC
Practice address
101 Mission St Ste 800
San Francisco, CA 94105-1744
Phone
(415) 231-5333
Fax
(415) 231-5332
NPI assigned
Nov 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9900992 NC Primary

Addresses

Primary practice location

101 Mission St Ste 800
San Francisco, CA 94105-1744

Mailing address

130 N Audubon Ave
Mooresville, NC 28117-9150
Phone (415) 231-5333

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040722000684 NC Practitioner - Family Practice 5991785701

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

130 N Audubon Ave
Mooresville, NC 28117-9150

15 Grumman Rd W
Suite 1400
Bethpage, NY 11714-5029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ourhealth Physician Group, LLC PastSince May 1, 2020 Accepting new patients
Premise Health of North Carolina Medical PC PastSince Aug 28, 2021 Accepting new patients
Ourhealth Physicians Group, LLC PastSince May 1, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1669455382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N AUDUBON AVE",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179150",
            "telephone_number": "415-231-5333",
            "fax_number": "415-231-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MISSION ST STE 800",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941051744",
            "telephone_number": "415-231-5333",
            "fax_number": "415-231-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "SARAH",
        "middle_name": "PRINCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9900992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.