LAUREN SACK (PA-C) – Physician Assistant, NPI 1386919405
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for LAUREN SACK (PA-C)
1702 Meadows Ln
Suite A
Vidalia, GA 304747219
Phone: (912) 538-0984
Fax: (912) 538-0984
Type: Location
961 E Winthrope Ave
Millen, GA 304421839
Phone: (478) 982-0120
Fax: (912) 644-5260
Type: Location
247 S Main St Ste A
Reidsville, GA 304534605
Phone: (912) 557-8990
Fax: (912) 644-5260
Type: Location
210 E DeRenne Ave
Savannah, GA 314056736
Phone: (912) 644-5300
Fax: (912) 644-5241
Type: Location
16915 Highway 67 Ste A
Statesboro, GA 304585819
Phone: (912) 681-2500
Fax: (912) 681-2025
Type: Location
210 E DERENNE AVE
SAVANNAH, GA 314056736
Phone: (912) 644-5300
Fax: (912) 644-5241
Type: Mailing
16915 HIGHWAY 67 STE A
STATESBORO, GA 304585819
Phone: (912) 681-2500
Fax: (912) 681-2025
Type: Location
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: 2013-07-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130709000688 | I | Physician Assistant | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 286 | 36 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 72 | 58 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 56 | 31 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 32 | 23 | $0 |
| 73502 | X-ray of hip, 2-3 views | 19 | 16 | $0 |
Insurance plans in this area (ZIP 30474)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Orthopedic Surgery | GA | |
| Physician Assistant | SC | |
| Physical Therapist In Private Practice | GA | |
| Occupational Therapist In Private Practice | TX | |
| Physician Assistant | MO | |
| Physical Therapist In Private Practice | GA | |
| Family Practice | GA | |
| Physical Therapist In Private Practice | GA | |
| Occupational Therapist In Private Practice | GA |
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