Individual provider Active NPI

Sonya S Saadati, DO

  • Family Medicine Physician
  • Sunset Beach, NC
National Provider Identifier
1992709679
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2021-02209 Issued in NC
Practice address
690 Sunset Blvd N Ste 208
Sunset Beach, NC 28468-5611
Phone
(910) 575-8488
Fax
(910) 575-6542
NPI assigned
Jun 9, 2005
Last updated
Nov 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO1213 TN
Family Medicine Physician 207Q00000X 2021-02209 NC Primary

Addresses

Primary practice location

690 Sunset Blvd N Ste 208
Sunset Beach, NC 28468-5611

Mailing address

PO Box 3239
Florence, SC 29502-3239
Phone (910) 575-8488

Other names 1

  • Sonya Marden Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20041014000505 TN Practitioner - Family PracticePractitioner - Addiction Medicine 2769442706 Reassigns benefits to 1 organization
I20120319000673 VA Practitioner - Family Practice 2769442706 Reassigns benefits to 1 organization
I20211029001428 NC Practitioner - Family Practice 2769442706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

690 Sunset Blvd N
Suite 208
Sunset Beach, NC 28468-5332
Phone (843) 366-3755

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO1213TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Mangement Corporation CurrentSince Apr 4, 2011 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jan 10, 2012 Accepting new patients
McLeod Physician Associates II Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
McLeod Physician Associates II CurrentSince Sep 1, 2021 Accepting new patients
Blue Ridge Medical Management Corporation Family Medicine CurrentSince Apr 4, 2011 Accepting new patients
Genesis Family Healthcare PLLC Family Medicine Past Accepting new patients
Johnson City Emergency Physicians, PC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
McLeod Physician Associates II Family Medicine Past Accepting new patients

Locations

690 Sunset Blvd N
Ste 208
Sunset Beach, NC 28468
Phone (843) 366-3715

506 E Cheves St
#202
Florence, SC 29506
Phone (843) 777-5091

3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

2 Professional Park Dr
Ste 15
Johnson City, TN 37604
Phone (423) 232-4867

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

2204 Pavilion Dr
Ste 200
Kingsport, TN 37660
Phone (423) 224-3900

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

Interoperability endpoints

  • Direct secure messaging: ssaadati26424@directmcleodehealth.org

Organizations & group practices 11

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.

Hospital & facility affiliations 4

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1992709679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295023239",
            "telephone_number": "910-575-8488",
            "fax_number": "910-575-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 SUNSET BLVD N STE 208",
            "city": "SUNSET BEACH",
            "state": "NC",
            "postal_code": "284685611",
            "telephone_number": "910-575-8488",
            "fax_number": "910-575-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAADATI",
        "first_name": "SONYA",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO1213",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2021-02209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONYA",
            "last_name": "MARDEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sunset Beach, NC

Sources for this page

Verify at the official NPI Registry.