Individual provider Active NPI

Elizabeth Peebles Sager, M.D.

  • Plastic Surgery Physician
  • Destin, FL
National Provider Identifier
1699847632
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME165539 Issued in FL
Practice address
1241 Airport Road
Box #7
Destin, FL 32541-2241
Phone
(850) 865-2294
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 35.086676 OH
Plastic Surgery Physician 208200000X ME165539 FL Primary

Addresses

Primary practice location

1241 Airport Road
Box #7
Destin, FL 32541-2241

Mailing address

1241 Airport Road
Box #7
Destin, FL 32541-2241
Phone (850) 865-2294

Other names 1

  • Dr. Elizabeth Longley Peebles Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME165539FLMDPlastic Surgery Physician
35.086676OHMDPlastic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1699847632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 AIRPORT ROAD",
            "address_2": "BOX #7",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412241",
            "telephone_number": "850-865-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 AIRPORT ROAD",
            "address_2": "BOX #7",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412241",
            "telephone_number": "850-865-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGER",
        "first_name": "ELIZABETH",
        "middle_name": "PEEBLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "35.086676",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME165539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "PEEBLES",
            "middle_name": "LONGLEY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Destin, FL

Sources for this page

Verify at the official NPI Registry.