SARAH NAYEBOSADRI (PA-C) – Surgical Physician Assistant, NPI 1164916938

SARAH NAYEBOSADRI (PA-C) is a healthcare provider. based in Johns creek, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 8837 (GA). The NPI Number for SARAH NAYEBOSADRI (PA-C) is 1164916938

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
SARAH NAYEBOSADRI (PA-C)
NPI
1164916938
Phone
(678) 344-8900
Address
10730 MEDLOCK BRIDGE RD STE 110
Enumeration Date
15 June 2018
Last Update Date
26 April 2024

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6783448900
Graduation Year
2018 (8 years ago)
PAC ID
3971855800
Group Practice PAC ID
1759552607
Professional Enrollment ID
I20181004000587
Address ID
GA305176076BR2695XHWYX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for SARAH NAYEBOSADRI (PA-C)

  • 10730 MEDLOCK BRIDGE RD STE 110

    JOHNS CREEK, GA 300972638

    Phone: (678) 344-8900

    Type: Location

  • 1557, Janmar Road, Snellville, Gwinnett County, Georgia, 30078, United States

    SNELLVILLE, GA 300785686

    Phone: (678) 344-8900

    Fax: (678) 666-5201

    Type: Mailing

  • Johnson Ferry Road Southeast, Sandy Springs, Fulton County, Georgia, 30328, United States

    SANDY SPRINGS, GA 303194324

    Phone: (678) 344-8900

    Type: Location

  • 2695 Old Winder Hwy Ste 150

    Braselton, GA 305176076

    Phone: (678) 344-8900

    Type: Location

  • PO BOX 628231 MAIL CODE: 5068

    ORLANDO, FL 328628231

    Phone: (678) 344-8900

    Fax: (678) 666-5201

    Type: Mailing

  • 1551 JANMAR RD

    SNELLVILLE, GA 300785606

    Phone: (678) 344-8900

    Fax: (678) 666-5201

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 126 Open Payments records for all available years, with a total value of $12,561.

Total Amount is formed as General ($12,561) + Research ($0) + Ownership ($0) = $12,561.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Medtronic, Inc. ($9,349).

Total Amount

$12,561

General + Research + Ownership

Payments

126

Total payment records

General Amount

$12,561

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-10-04

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
I20181004000587IPhysician AssistantGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes204143$0
51798Ultrasound measurement of bladder capacity after voiding158126$0
81003Automated urinalysis test131109$0
81007Urinalysis for bacteria11482$0
99213Established patient office or other outpatient visit, 20-29 minutes4239$0
View full utilization report →

Insurance plans in this area (ZIP 30097)

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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: 1759552607View full group profile
NameSpecialtyState
Physician AssistantGA
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)TN
Physician AssistantGA
Physician AssistantGA
-GA
Certified Registered Nurse Anesthetist (Crna)GA
Physician AssistantGA
Physician AssistantGA
Physician AssistantGA

Reviews

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Frequently asked questions

Is there an official ID for SARAH NAYEBOSADRI (PA-C) in U.S. healthcare records?
The official identifier for SARAH NAYEBOSADRI (PA-C) is NPI 1164916938.
Is SARAH NAYEBOSADRI (PA-C) still an active registrant?
SARAH NAYEBOSADRI (PA-C) carries an active NPI according to the public dataset.
What area of care is associated with SARAH NAYEBOSADRI (PA-C)?
SARAH NAYEBOSADRI (PA-C)'s record emphasizes Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SARAH NAYEBOSADRI (PA-C)?
Travel planning: use Johns Creek, Georgia as the reference point for SARAH NAYEBOSADRI (PA-C), then confirm.
When was this NPI issued?
Enumeration for SARAH NAYEBOSADRI (PA-C) is noted as June 15, 2018 where the registry provides it.

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