Individual provider Active NPI

Sarah R Colson, NP

  • Family Nurse Practitioner
  • Indian Wells, CA
National Provider Identifier
1669734158
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95027397 Issued in CA
Practice address
74785 US Highway 111 Ste 101
Indian Wells, CA 92210-7129
Phone
(760) 776-8989
NPI assigned
Jun 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NCO-000001 GA
Family Nurse Practitioner 363LF0000X 95027397 CA Primary

Addresses

Primary practice location

74785 US Highway 111 Ste 101
Indian Wells, CA 92210-7129

Mailing address

5807 McDonald Rd
Hahira, GA 31632-3627

Other practice location 1

209 Pendleton Dr
Valdosta, GA 31602-1729
Phone (229) 259-4600

Other practice location 2

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 333-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190122002667 GA Practitioner - Nurse Practitioner 7315284825 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95027397CAMDFamily Nurse Practitioner
NCO-000001GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Halo Medical Group CurrentSince Jan 29, 2025 Accepting new patients
Hospital Authority of Valdosta and Lowndes County Georgia CurrentSince Dec 1, 2018 Accepting new patients
Hospital Authority of Valdosta and Lowndes County, Georgia CurrentSince Dec 1, 2018 Accepting new patients
Hospital Authority of Valdosta and Lowndes County Georgia Current Accepting new patients
Great Health Medical Ga PC CurrentSince Jan 27, 2023 Accepting new patients

Locations

1720 Esplanade
Chico, CA 95926
Phone (530) 898-0500

74785 US Highway 111
Ste 101
Indian Wells, CA 92210
Phone (760) 346-4329

300 Colonial Center Pkwy
Ste 100N
Roswell, GA 30076
Phone (704) 684-7609

503 Eisenhower Dr
Savannah, GA 31406
Phone (912) 355-6255

209 Pendleton Dr
Valdosta, GA 31602
Phone (229) 259-4600

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

407 Willoughby Ave
Brooklyn, NY 11205
Phone (212) 201-1252

Organizations & group practices 5

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": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1669734158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5807 MCDONALD RD",
            "city": "HAHIRA",
            "state": "GA",
            "postal_code": "316323627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74785 US HIGHWAY 111 STE 101",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922107129",
            "telephone_number": "760-776-8989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Pendleton Dr",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316021729",
            "country_code": "US",
            "telephone_number": "229-259-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 N Patterson St",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "31602",
            "country_code": "US",
            "telephone_number": "229-333-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLSON",
        "first_name": "SARAH",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "NCO-000001",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95027397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Wells, CA

Sources for this page

Verify at the official NPI Registry.