Sarah Lindsey Abdeen, PA-C
Individual provider Active NPI Surgical Physician Assistant · Jackson, MS
NPI 1902314693 · NPPES record last updated Apr 30, 2020
Key facts
- NPI
- 1902314693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- Practice address
- 971 Lakeland Dr Ste 1460
Jackson, MS 39216-4621 - Phone
- (601) 982-3202
- Fax
- (601) 982-3259
- NPI assigned
- Jan 16, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180427000304 | MS | Practitioner - Physician Assistant | 2163786161 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | MS | Yes |
Addresses
Primary practice location
971 Lakeland Dr Ste 1460
Jackson, MS 39216-4621
Mailing address
971 Lakeland Dr Ste 1460
Jackson, MS 39216-4621
Phone (601) 982-3202
Other providers in Jackson, MS
- Aanda Medical Supply
- Noah Hamed Abbas
- Syed Hussain Abbas
- Taylor L. Abbey
- Abdu Mohamed Abdallah Ahmed
- Ashraf Sami Abdo
- Rania Abdo
- Alex Stephens Abernathy
- John Abernathy
- Sarah L Abernathy
All providers in Jackson, MS · Surgical Physician Assistant in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.