SARAH BRICENO FAMBROUGH – Certified Registered Nurse Anesthetist, NPI 1154036341

SARAH BRICENO FAMBROUGH is a healthcare provider. based in Douglas, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. RN259000 (GA). The NPI Number for SARAH BRICENO FAMBROUGH is 1154036341

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
SARAH BRICENO FAMBROUGH
NPI
1154036341
Phone
(912) 384-1900
Address
1101 OCILLA RD
Enumeration Date
23 January 2023
Last Update Date
1 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9123841900
Graduation Year
2022 (4 years ago)
PAC ID
7113391699
Group Practice PAC ID
4587656012
Professional Enrollment ID
I20230323002535
Address ID
GA315332207DO1101XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

Provider Addresses for SARAH BRICENO FAMBROUGH

  • 1101 OCILLA RD

    DOUGLAS, GA 315332262

    Phone: (912) 384-1900

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230323002535ICertified Registered Nurse Anesthetist (Crna)GATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31533)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587656012View full group profile
NameSpecialtyState
Internal MedicineGA
P A T H O L O G YGA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Internal MedicineGA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)AL
Internal MedicineGA
Cardiovascular Disease (Cardiology), Nuclear MedicineGA
Emergency Medicine, Family PracticeAZ

Reviews

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Frequently asked questions

Does SARAH BRICENO FAMBROUGH share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SARAH BRICENO FAMBROUGH uses 1154036341.
Is SARAH BRICENO FAMBROUGH still practicing?
SARAH BRICENO FAMBROUGH is currently listed as active in the public NPI registry.
What taxonomy line describes SARAH BRICENO FAMBROUGH?
For research purposes, treat SARAH BRICENO FAMBROUGH as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
What area does SARAH BRICENO FAMBROUGH serve?
SARAH BRICENO FAMBROUGH's listing highlights Douglas, Georgia; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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