Individual provider Active NPI

Sarah Bell Lusted, NP

  • Acute Care Nurse Practitioner
  • Statesboro, GA
National Provider Identifier
1962283424
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN231865 Issued in GA
Practice address
5 Grady Johnson Rd
Statesboro, GA 30458-6026
Phone
(912) 489-6246
Fax
(912) 489-6346
NPI assigned
Oct 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN231865 GA Primary

Addresses

Primary practice location

5 Grady Johnson Rd
Statesboro, GA 30458-6026

Mailing address

5 Grady Johnson Rd
Statesboro, GA 30458-6026
Phone (912) 489-6246

Other names 1

  • Sarah Ann Bell Former name

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
I20240103000130 GA Practitioner - Nurse Practitioner 9234589243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Statesboro Cardiology, PCGroup PAC ID 5294704508, 8 clinicians

Practice addresses (Care Compare)

5 Grady Johnson Rd
Statesboro, GA 30458-6026
Phone (912) 489-6246

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN231865GAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Statesboro Cardiology, PC CurrentSince Nov 8, 2023 Accepting new patients
Genesis Vascular of Pooler, LLC PastSince Oct 15, 2023 Accepting new patients

Locations

5 Grady Johnson Rd
Statesboro, GA 30458
Phone (912) 489-6246

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.

Hospital & facility affiliations 1

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": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1962283424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GRADY JOHNSON RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304586026",
            "telephone_number": "912-489-6246",
            "fax_number": "912-489-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GRADY JOHNSON RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304586026",
            "telephone_number": "912-489-6246",
            "fax_number": "912-489-6346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSTED",
        "first_name": "SARAH",
        "middle_name": "BELL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN231865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "BELL",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.