Individual provider Active NPI

Sara Morris, MSN

  • Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1861984759
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN240808 Issued in GA
Practice address
1395 S Marietta Pkwy SE Ste 730
Marietta, GA 30067-7886
Phone
(404) 763-1456
NPI assigned
Jun 5, 2018
Last updated
Jun 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN240808 GA Primary
Registered Nurse 163W00000X RN240808 GA

Addresses

Primary practice location

1395 S Marietta Pkwy SE Ste 730
Marietta, GA 30067-7886

Mailing address

1531 Beechcliff Dr NE
Atlanta, GA 30329-3825
Phone (678) 663-3900

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
I20200128001031 GA Practitioner - Nurse Practitioner 9638504327 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care Ga PC CurrentSince Jan 27, 2023 Accepting new patients
Centerwell Senior Primary Care Ga PC CurrentSince Jan 27, 2023 Accepting new patients
Hardy Renew Wellness,LLC CurrentSince Feb 28, 2025 Accepting new patients
Centerwell Senior Primary Care Ga PC Past Accepting new patients

Locations

4700 Millenia Blvd
Ste 650
Orlando, FL 32839
Phone (407) 533-6837

1821 Mount Zion Rd
Morrow, GA 30260
Phone (470) 754-6380

6085 Old National Hwy
Ste G
South Fulton, GA 30349
Phone (470) 754-6360

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.

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1861984759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 BEECHCLIFF DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293825",
            "telephone_number": "678-663-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 S MARIETTA PKWY SE STE 730",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300677886",
            "telephone_number": "404-763-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "SARA",
        "name_prefix": "Ms.",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN240808",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN240808",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.