Active NPI
Sarah Nancy Atallah, MD
- Family Medicine Physician
- Grand Forks, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- RL17375
- Practice address
- 725 Hamline St
Grand Forks, ND 58203-2819 - Phone
- (701) 780-6810
- NPI assigned
- Jun 2, 2021
- Last updated
- Jun 2, 2021
- 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 Medicine Physician | 207Q00000X | RL17375 | ND | Primary |
Addresses
Primary practice location
725 Hamline St
Grand Forks, ND 58203-2819
Mailing address
725 Hamline St
Grand Forks, ND 58203-2819
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
351 S Liberty St
Waynesboro, GA 30830-9686
Phone (706) 554-4435
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RL17375 | ND | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southland Emergency Medical Services Consolidated, LLC | Family Medicine | Current | Accepting new patients |
| Altru Health System | Family Medicine | Current | Accepting new patients |
| Altru Health System | Current | Accepting new patients | |
| Southland Consolidated Emergency Services, LLC | Current | Accepting new patients | |
| Southland Burke Emergency Medical Services, LLC | Current | Accepting new patients |
Locations
145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950
4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527
610 Sparta Rd
Sandersville, GA 31082
Phone (478) 240-2000
351 S Liberty St
Waynesboro, GA 30830
Phone (706) 554-4435
1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000
2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891
4440 S Washington St
Grand Forks, ND 58201
Phone (701) 732-7000
725 Hamline St
Grand Forks, ND 58203
Phone (701) 777-6800
Interoperability endpoints
- sarah.atallah.1@22307.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Waynesboro, GA
- NPI 1235885815
-
- Hospitalist Physician
- Cochran, GA
- NPI 1033464391
Family Medicine
-
dba Altru 1300 Columbia
- Clinic/Center
- Grand Forks, ND
- NPI 1043309552
Family Medicine
-
- Emergency Medicine Physician
- Elberton, GA
- NPI 1174917124
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1780250464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 HAMLINE ST",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582032819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 HAMLINE ST",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582032819",
"telephone_number": "701-780-6810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATALLAH",
"first_name": "SARAH",
"middle_name": "NANCY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-02",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ND",
"license": "RL17375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.