SARAH B. BOLICK (PA) – Physician Assistant, NPI 1720053879

SARAH B. BOLICK (PA) is a healthcare provider. based in Kennesaw, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 004335 (GA). The NPI Number for SARAH B. BOLICK (PA) is 1720053879

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
SARAH B. BOLICK (PA)
NPI
1720053879
Phone
(770) 421-8005
Address
270 CHASTAIN RD NW
Enumeration Date
22 February 2006
Last Update Date
10 December 2012

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
7704218005
Graduation Year
2004 (22 years ago)
PAC ID
8224099692
Group Practice PAC ID
1153224142
Professional Enrollment ID
I20041020000464
Address ID
GA301443012KE270XXNWRD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

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Provider Addresses for SARAH B. BOLICK (PA)

  • Chastain Road, Kennesaw, Cobb County, Georgia, 30144, United States

    KENNESAW, GA 301443012

    Phone: (770) 421-8005

    Fax: (770) 424-5662

    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: 2004-10-20

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
I20041020000464IPhysician 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
99213Established patient office or other outpatient visit, 20-29 minutes564382$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg517252$0
20550Injection into tendon or ligament231124$0
20610Aspiration and/or injection of fluid from large joint178103$0
73110X-ray of wrist, minimum of 3 views158103$0
View full utilization report →

Insurance plans in this area (ZIP 30144)

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Provider's Procedures

SARAH B. BOLICK (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTGA73110X-ray of wrist, minimum of 3 views6848
PHYSICIAN ASSISTANTGA73140X-ray of fingers, minimum of 2 views3228

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: 1153224142View full group profile
NameSpecialtyState
-GA
Physical Therapist In Private PracticeGA
Physician AssistantGA
-GA
Diagnostic RadiologyGA
Physical Therapist In Private PracticeGA
Occupational Therapist In Private PracticeNJ
Nurse PractitionerGA
-GA
-GA

Reviews

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Frequently asked questions

Can I verify SARAH B. BOLICK (PA) with an NPI only?
You can start verification with NPI 1720053879 for SARAH B. BOLICK (PA), then check state licensing separately.
Does the file indicate SARAH B. BOLICK (PA) is practicing under active NPI?
Directory data currently reports SARAH B. BOLICK (PA) as active.
What healthcare role does SARAH B. BOLICK (PA) hold?
Scheduling teams often label SARAH B. BOLICK (PA) under Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for SARAH B. BOLICK (PA)?
SARAH B. BOLICK (PA)'s geographic hint is Kennesaw, Georgia in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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