Individual provider Active NPI

Sara E Welch, PA-C

  • Physician Assistant
  • Daphne, AL
National Provider Identifier
1861689606
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.650 Issued in AL
Practice address
7101 US Highway 90 Ste 102
Daphne, AL 36526-9510
Phone
(251) 278-6022
Fax
(251) 278-3930
NPI assigned
Sep 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA 650 AL
Physician Assistant 363A00000X PA.650 AL Primary

Addresses

Primary practice location

7101 US Highway 90 Ste 102
Daphne, AL 36526-9510

Mailing address

7101 US Highway 90 Ste 102
Daphne, AL 36526-9510
Phone (251) 278-6022

Other identifiers 1

IdentifierTypeStateIssuer
511-66478OtherALBC OF AL PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20100611000709 AL Practitioner - Physician Assistant 1153406889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preventive Care and Sleep Medicine, PCGroup PAC ID 1456746833, 2 clinicians

Practice addresses (Care Compare)

7101 US Hwy 90
Suite 102
Daphne, AL 36526-9510
Phone (251) 278-6022

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.650ALMDPhysician Assistant
PA 650ALMDMedical 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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1861689606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 US HIGHWAY 90 STE 102",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269510",
            "telephone_number": "251-278-6022",
            "fax_number": "251-278-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 US HIGHWAY 90 STE 102",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269510",
            "telephone_number": "251-278-6022",
            "fax_number": "251-278-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "SARA",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "PA 650",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OF AL PROVIDER NUMBER",
            "identifier": "511-66478",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

Verify at the official NPI Registry.