Individual provider Active NPI

Sarah Vantrease, PA

  • Physician Assistant
  • Tullahoma, TN
National Provider Identifier
1891494670
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5563 Issued in TN
Practice address
600 N Jackson St
Tullahoma, TN 37388-3542
Phone
(931) 563-5469
Fax
(931) 563-5470
NPI assigned
Mar 1, 2023
Last updated
Aug 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 5563 TN Primary

Addresses

Primary practice location

600 N Jackson St
Tullahoma, TN 37388-3542

Mailing address

600 N Jackson St
Tullahoma, TN 37388-3542
Phone (931) 563-5469

Other practice location 1

1 University Park Dr
Nashville, TN 37204-3956
Phone (800) 333-4358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20230811000609 TN Practitioner - Physician Assistant 2264894021 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iris Medical GroupGroup PAC ID 0648653360, 82 clinicians

Practice addresses (Care Compare)

9019 Overlook Blvd
Suite C1B
Brentwood, TN 37027-2737
Phone (615) 274-9767

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 11, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 11, 2023 Accepting new patients
Iris Medical Group CurrentSince Oct 1, 2025 Accepting new patients
Iris Wound Care, PC Past Accepting new patients

Locations

9019 Overlook Blvd
Ste C1B
Brentwood, TN 37027

1128 N Castle Heights Ave
Lebanon, TN 37087
Phone (423) 352-4381

1307 N Ellington Pkwy
Lewisburg, TN 37091
Phone (931) 359-4555

3813 Old Port Royal Rd N
Spring Hill, TN 37174
Phone (931) 487-1006

600 N Jackson St
Tullahoma, TN 37388
Phone (931) 563-5469

9002 Sparta Pike
Watertown, TN 37184
Phone (615) 697-6836

Interoperability endpoints

  • Direct secure messaging: sarah.vantrease.1@30029.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1891494670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N JACKSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883542",
            "telephone_number": "931-563-5469",
            "fax_number": "931-563-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N JACKSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883542",
            "telephone_number": "931-563-5469",
            "fax_number": "931-563-5470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 University Park Dr",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372043956",
            "country_code": "US",
            "telephone_number": "800-333-4358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANTREASE",
        "first_name": "SARAH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

Verify at the official NPI Registry.