Sarah President, F1116456

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F1116456 Issued in GA

Practice address

1773 Sweetwater St
Austell, GA 30106-3294

Phone

(770) 575-4938

Fax

(470) 588-8862

NPI assigned

May 18, 2017

Reactivated

Jun 12, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1369/brand/1/csg/1/fhir/r4

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.

• Medicas Medical Clinic, LLC

  • Family Nurse Practitioner
  • Austell, GA
  • NPI 1598269250
  Medicare reassignment NPD Authorized official
• Grace Oasis Personal Care Home LLC

  • Community/Behavioral Health Agency
  • Douglasville, GA
  • NPI 1134560840
  NPD (past) Authorized official
• Lifetime Family Medicine,LLC

  • Family Medicine Physician
  • Dallas, GA
  • NPI 1053509216
  NPD (past)
• Temple Medical LLC

  dba TempleMed Health

  • Family Medicine Physician
  • Villa Rica, GA
  • NPI 1740406438
  NPD (past)

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1912434168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 HILDERBRAND DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301355135",
            "telephone_number": "770-616-7758",
            "fax_number": "770-562-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1773 SWEETWATER ST",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301063294",
            "telephone_number": "770-575-4938",
            "fax_number": "470-588-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESIDENT",
        "first_name": "SARAH",
        "credential": "F1116456",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "deactivation_date": "2023-05-21",
        "reactivation_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F1116456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONERS CERTIFICATION PROGRAM",
            "identifier": "F1116456",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ingrid Pradere, FNP
• Jyoti Nilesh Prajapati, DDS
• Kiran Pratap, M.D.
• Presbyterian Village Austell Inc (Presbyterian Village Pharmacy)
• Presbyterian Village, Austell, Inc.
• Michelle Presley
• Louann Pressell, C.N.P
• Preventive Care Services, Inc.
• Whitney Prince
• Professionz

• Family Nurse Practitioner in Austell, GA
• Providers in Austell, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.