Individual provider Active NPI

Sarah Catherine Atchley, P.A.-C

  • Medical Physician Assistant
  • College Station, TX
National Provider Identifier
1841597291
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA07198 Issued in TX
Practice address
2911 Texas Ave S Ste 202
College Station, TX 77845-5388
Phone
(979) 695-3570
Fax
(979) 695-3573
NPI assigned
Feb 22, 2011
Last updated
Apr 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA07198 TX Primary

Addresses

Primary practice location

2911 Texas Ave S Ste 202
College Station, TX 77845-5388

Mailing address

2911 Texas Ave S Ste 202
College Station, TX 77845-5388
Phone (979) 695-3570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110614000137 TX Practitioner - Physician Assistant 4385821610 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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": "1298332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1841597291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 TEXAS AVE S STE 202",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455388",
            "telephone_number": "979-695-3570",
            "fax_number": "979-695-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 TEXAS AVE S STE 202",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455388",
            "telephone_number": "979-695-3570",
            "fax_number": "979-695-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATCHLEY",
        "first_name": "SARAH",
        "middle_name": "CATHERINE",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-22",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA07198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.