Sarah Jordan Davis, FNP-C – Family Nurse Practitioner

Key facts

NPI: 1952995235
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: 249005 (GA)
Practice address: Comprehensive Primary Care. LLC
761 Walther Road, Suite 200
Lawerenceville, GA 30046
Phone: (678) 888-2279
Fax: (678) 888-2200
NPI assigned: Feb 26, 2021
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Comprehensive Primary Care, LLC Endocrinology, Diabetes & Metabolism Physician · Lawrenceville, GA · NPI 1487120820

Medicare reassignment NPD GA
Southeast Medical Group, P.C. Family Medicine Physician · Alpharetta, GA · NPI 1235296054

Medicare reassignment NPD GA

Medicare participation

Medicare fee-for-service enrollment: Enrolled in GA
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
I20220111001605	GA	Practitioner - Nurse Practitioner	0648662254	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
249005	GA	MD	Family Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Southeast Medical Group, P.C.		Current since Apr 11, 2022	Accepting new patients
Comprehensive Primary Care, LLC		Current since Mar 6, 2023	Accepting new patients

Locations

3200 Downwood Cir NW
Ste 200
Atlanta, GA 30327
Phone (404) 351-1990

1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350

761 Walther Rd
Ste 200
Lawrenceville, GA 30046
Phone (678) 296-5504

3905 Johns Creek Ct
Ste 200
Suwanee, GA 30024
Phone (678) 888-2273

Interoperability endpoints

FHIR API: https://fhir4.healow.com/fhir/r4/GHAGBD
FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	249005	GA	Yes

Addresses

Primary practice location

Comprehensive Primary Care. LLC
761 Walther Road, Suite 200
Lawerenceville, GA 30046

Mailing address

Comprehensive Primary Care, LLC
3905 Johns Creek Court, Suite 200
Suwanee, GA 30024-1225
Phone (678) 888-2273

Other names

Sarah Jordan Former name

Other providers in Lawerenceville, GA

Sally Bishop Brooks, PA-C
Thiesha L Shephard, DOULA

All providers in Lawerenceville, GA · Family Nurse Practitioner in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2023. 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.

Verify at the official NPI Registry.