Individual provider Active NPI

Steven Andre Sawyer, MD

  • Emergency Medicine Physician
  • Ellenwood, GA
National Provider Identifier
1790053130
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME 112030 Issued in FL
Practice address
5439 Emily Cir
Ellenwood, GA 30294-4327
Phone
(404) 895-1351
NPI assigned
Dec 13, 2011
Last updated
Feb 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 67087 GA
Emergency Medicine Physician 207P00000X ME 112030 FL Primary

Addresses

Primary practice location

5439 Emily Cir
Ellenwood, GA 30294-4327

Mailing address

5439 Emily Cir
Ellenwood, GA 30294-4327
Phone (404) 895-1351

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120427000543 GA Practitioner - Emergency Medicine 8729248034 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 112030FLMDEmergency Medicine Physician
67087GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emerginet, LLC CurrentSince Oct 1, 2012 Accepting new patients
Emerginet SRMC, LLC CurrentSince Oct 1, 2012 Accepting new patients
Emerginet Henry, LLC CurrentSince Oct 1, 2012 Accepting new patients
Georgia Emergency Group, LLC Emergency Medicine CurrentSince Nov 1, 2014 Accepting new patients
Parkway Anesthesia Consultants, PC Past Accepting new patients
Lavender Inpatient Services LLC Past Accepting new patients

Locations

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

1050 McDonough Rd
Jackson, GA 30233
Phone (770) 775-7861

1000 Thornton Rd
Lithia Springs, GA 30122
Phone (770) 732-7660

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1790053130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5439 EMILY CIR",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302944327",
            "telephone_number": "404-895-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5439 EMILY CIR",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302944327",
            "telephone_number": "404-895-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWYER",
        "first_name": "STEVEN",
        "middle_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-13",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "67087",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME 112030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenwood, GA

Sources for this page

Verify at the official NPI Registry.