Sonya S Saadati, DO
Individual provider Active NPI Family Medicine Physician · Sunset Beach, NC
NPI 1992709679 · NPPES record last updated Nov 30, 2021
Key facts
- NPI
- 1992709679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2021-02209 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McLeod Physician Associates II
Practice addresses (Care Compare)
690 Sunset Blvd N
Suite 208
Sunset Beach, NC 28468-5332
Phone (843) 366-3755
Hospital & facility affiliations
- Well Care Home Health
- Liberty Home Care
- McLeod Loris Hospital
- Novant Health Brunswick Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in TN, VA, NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041014000505 | TN | Practitioner - Family Practice |
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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO1213 | TN | MD | Family Medicine Physician |
| 1213 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | 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 | Current | Accepting new patients | |
| Blue Ridge Medical Mangement Corporation | Current |
Accepting new patients | |
| McLeod Physician Associates II | Family Medicine | Current |
Accepting new patients |
| McLeod Physician Associates II | Current |
Accepting new patients | |
| Blue Ridge Medical Management Corporation | Family Medicine | Current |
Accepting new patients |
| Johnson City Emergency Physicians, PC | Past | Accepting new patients | |
| Genesis Family Healthcare PLLC | Family Medicine | 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 (910) 575-8488
506 E Cheves St
#202
Florence, SC 29506
3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000
1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380
400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310
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
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
- ssaadati26424@directmcleodehealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO1213 | TN | |
| Family Medicine Physician | 207Q00000X | 2021-02209 | NC | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3305106 | Medicaid | TN | |
| Q01218 | Medicaid | SC |
Other names
- Sonya Marden
Other providers in Sunset Beach, NC
- Novant Medical Group, Inc
- Novant Medical Group, Inc.
- Ryleigh Pabon
- Joshua Cole Pridgen
- Amanda Rae Ruda
- Tara Salay
- Deborah Marie Schiappa
- Madison Lynn Schultz
- Seaside Family Medicine P.a.
- Shallotte Medical Center Inc
All providers in Sunset Beach, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2021. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.