Sarkis Sarkisian, COUNSELOR

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

01502 Issued in GA

Practice address

514 W Maple St Ste 1206
Cumming, GA 30040-2536

Phone

(770) 844-7826

Fax

(678) 250-9680

NPI assigned

Jan 14, 2022

Last updated

Oct 12, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakeside Clinic, LLC

  dba MedMark Treatment Centers Clearwater

  • Methadone Clinic
  • Clearwater, FL
  • NPI 1992162879
  NPD (past)

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1770234361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 RESERVOIR DR APT 311",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301144295",
            "telephone_number": "727-776-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 W MAPLE ST STE 1206",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402536",
            "telephone_number": "770-844-7826",
            "fax_number": "678-250-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARKISIAN",
        "first_name": "SARKIS",
        "credential": "COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-14",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "01502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandsrx Georgia, LLC
• Sandsrx Georgia, LLC
• Marianne Sandstrom
• Allison Brooke Santizo, NP-C
• Kanitha K Sar, APRN, FNP-BC
• Tyler Matthew Sarrazin, DPT
• Prerna Satyanarayana, M.D.
• Horace A Saunders, P.A.-C
• Kyle Saunders
• Thomas George Savel, M.D.

• Addiction (Substance Use Disorder) Counselor in Cumming, GA
• Providers in Cumming, GA by specialty
• Addiction (Substance Use Disorder) Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.