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Individual provider Active NPI

Sarah Romines Cleckler, DO

  • Family Medicine Physician
  • Blue Ridge, GA
National Provider Identifier
1902238843
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS14240 Issued in FL
Practice address
809 E Main St
Blue Ridge, GA 30513-4575
Phone
(706) 632-1155
NPI assigned
Aug 2, 2013
Last updated
Aug 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS14240 FL Primary

Addresses

Primary practice location

809 E Main St
Blue Ridge, GA 30513-4575

Mailing address

346 Deep South Farm Rd Ste a
Blairsville, GA 30512-2218
Phone (706) 745-9417

Other practice location 1

346 Deep South Farm Rd Ste A
Blairsville, GA 30512-2218
Phone (706) 745-9417

Other practice location 2

4799 Blue Ridge Dr Ste 104
Blue Ridge, GA 30513-3468
Phone (706) 632-1155

Other names 1

  • Sarah Coleen Romines Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200902003084 GA Practitioner - Family Practice 2466737408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Georgia Medicine LLCGroup PAC ID 6406923739, 16 clinicians

Practice addresses (Care Compare)

4799 Blue Ridge Dr
Suite 104
Blue Ridge, GA 30513-3468
Phone (706) 745-9417

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
North Georgia Medicine LLC Family Medicine CurrentSince Sep 14, 2020 Accepting new patients
Palm Beach General Surgery LLC Past Accepting new patients

Locations

123 Weaver Rd
#A
Blairsville, GA 30512
Phone (706) 745-9417

346 Deep South Farm Rd
#A
Blairsville, GA 30512
Phone (706) 745-9417

4799 Blue Ridge Dr
Ste 104
Blue Ridge, GA 30513
Phone (706) 492-3200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1902238843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 DEEP SOUTH FARM RD STE A",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305122218",
            "telephone_number": "706-745-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 E MAIN ST",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305134575",
            "telephone_number": "706-632-1155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "346 Deep South Farm Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Blairsville",
            "state": "GA",
            "postal_code": "305122218",
            "country_code": "US",
            "telephone_number": "706-745-9417",
            "fax_number": "706-896-0877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4799 Blue Ridge Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Blue Ridge",
            "state": "GA",
            "postal_code": "305133468",
            "country_code": "US",
            "telephone_number": "706-632-1155",
            "fax_number": "706-896-0877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLECKLER",
        "first_name": "SARAH",
        "middle_name": "ROMINES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS14240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "ROMINES",
            "middle_name": "COLEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blue Ridge, GA

Sources for this page

Verify at the official NPI Registry.