Individual provider Active NPI

Sarah Thomas Haggerty, PA-C

  • Physician Assistant
  • Chesapeake, VA
National Provider Identifier
1962776393
Registry record updated Jul 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110003830 Issued in VA
Practice address
1016 Justis St
Chesapeake, VA 23325-2516
Phone
(757) 420-8297
NPI assigned
Mar 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110003830 VA Primary

Addresses

Primary practice location

1016 Justis St
Chesapeake, VA 23325-2516

Mailing address

1016 Justis St
Chesapeake, VA 23325-2516
Phone (757) 420-8297

Other practice location 1

1721 Admiral Taussig Blvd
Norfolk, VA 23511-2802
Phone (757) 953-8876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20150807014062 VA Practitioner - Physician Assistant 2769796465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidewater Physicians Multispecialty Group, PCGroup PAC ID 2860398526, 259 clinicians

Practice addresses (Care Compare)

1016 Justis St
Chesapeake, VA 23325-2516
Phone (757) 420-8297

13347 Warwick Blvd
Newport News, VA 23602-5601
Phone (757) 877-0214

4421 Virginia Beach Blvd
VA Beach, VA 23462-3114

860 Omni Blvd
Newport News, VA 23606-4430

Hospital & facility affiliations

  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • Chesapeake General Hospital Hospital, Chesapeake, VA, CCN 490120
  • Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110003830VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physicians Multispecialty Group PC CurrentSince Mar 1, 2020 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Mar 1, 2020 Accepting new patients

Locations

1016 Justis St
Chesapeake, VA 23325
Phone (757) 420-8297

13347 Warwick Blvd
Newport News, VA 23602
Phone (757) 877-0214

860 Omni Blvd
Ste 101
Newport News, VA 23606
Phone (757) 223-9794

729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077

827 Diligence Dr
Ste 100
Newport News, VA 23606

860 Omni Blvd
Newport News, VA 23606
Phone (757) 369-8138

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

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 5

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": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656892800000",
    "number": "1962776393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 JUSTIS ST",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233252516",
            "telephone_number": "757-420-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 JUSTIS ST",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233252516",
            "telephone_number": "757-420-8297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1721 Admiral Taussig Blvd",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235112802",
            "country_code": "US",
            "telephone_number": "757-953-8876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGGERTY",
        "first_name": "SARAH",
        "middle_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-02",
        "last_updated": "2022-07-04",
        "certification_date": "2022-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.