Individual provider Active NPI

Sally Kendall Duggan Sfeir, PA-C

  • Medical Physician Assistant
  • Dahlonega, GA
National Provider Identifier
1942791645
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
008846 Issued in GA
Practice address
73 Maxwell LN
Dahlonega, GA 30533
Phone
(706) 344-6953
NPI assigned
May 29, 2018
Last updated
Sep 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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 008846 GA
Medical Physician Assistant 363AM0700X 008846 GA Primary

Addresses

Primary practice location

73 Maxwell LN
Dahlonega, GA 30533

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

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
I20180927002372 GA Practitioner - Physician Assistant 7012268220 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Atlanta Ear Nose and Throat PCGroup PAC ID 9830403229, 15 clinicians

Practice addresses (Care Compare)

4150 Deputy Bill Cantrell Memorial
Cumming, GA 30040-3021

4150 Deputy Bill Cantrell Memorial
Suite 260
Cumming, GA 30040
Phone (770) 292-3045

4150 Deputy Bill Cantrell Memorial Rd
Suite 260
Cumming, GA 30040-3021

4150 Deputy Bill Cantrell Memorial Road
Suite 260
Cumming, GA 30040-3021

73 Prestige LN
Suite 202
Dawsonville, GA 30534-6371
Phone (770) 292-3045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
008846GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Physicians Group Inc Physician Assistant Past Accepting new patients

Organizations & group practices 4

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": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1942791645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420",
            "fax_number": "770-219-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 MAXWELL LN",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "30533",
            "telephone_number": "706-344-6953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SFEIR",
        "first_name": "SALLY KENDALL",
        "middle_name": "DUGGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "008846",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "008846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dahlonega, GA

Sources for this page

Verify at the official NPI Registry.