Individual provider Active NPI

Sarina Pakhamma, NP

  • Family Nurse Practitioner
  • Buford, GA
National Provider Identifier
1811601032
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN275272 Issued in GA
Practice address
4700 Nelson Brogdon Blvd Ste 220
Buford, GA 30518-5401
Phone
(770) 904-9014
Fax
(770) 904-9011
NPI assigned
Jan 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN275272 GA Primary

Addresses

Primary practice location

4700 Nelson Brogdon Blvd Ste 220
Buford, GA 30518-5401

Mailing address

4700 Nelson Brogdon Blvd Ste 220
Buford, GA 30518-5401
Phone (770) 904-9014

Other practice location 1

2366 Lenora Church Rd
Snellville, GA 30078-3233
Phone (470) 575-4040

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
I20250204003422 GA Practitioner - Nurse Practitioner 8729518824 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centennial Joint Care IncGroup PAC ID 4688066624, 2 clinicians

Practice addresses (Care Compare)

1235 Friendship Rd
Suite 115
Braselton, GA 30517-5624
Phone (770) 904-9014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN275272GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Joint Care Inc CurrentSince Nov 12, 2024 Accepting new patients
Regenerative Joint Clinics LLC CurrentSince Dec 20, 2024 Accepting new patients

Locations

1235 Friendship Rd
Ste 115
Braselton, GA 30517
Phone 7706793090 ext. 101

4700 Nelson Brogdon Blvd
Ste 220
Buford, GA 30518
Phone (770) 904-9014

483 Upper Riverdale Rd SW
Ste F
Riverdale, GA 30274
Phone (470) 895-0610

2366 Lenora Church Rd
Snellville, GA 30078
Phone (470) 575-4040

Organizations & group practices 2

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": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1811601032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 NELSON BROGDON BLVD STE 220",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305185401",
            "telephone_number": "770-904-9014",
            "fax_number": "770-904-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 NELSON BROGDON BLVD STE 220",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305185401",
            "telephone_number": "770-904-9014",
            "fax_number": "770-904-9011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2366 Lenora Church Rd",
            "address_purpose": "LOCATION",
            "city": "Snellville",
            "state": "GA",
            "postal_code": "300783233",
            "country_code": "US",
            "telephone_number": "470-575-4040",
            "fax_number": "770-904-9011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAKHAMMA",
        "first_name": "SARINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN275272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

Verify at the official NPI Registry.