SARAH PRESIDENT (F1116456) – Family Nurse Practitioner, NPI 1912434168

SARAH PRESIDENT (F1116456) is a healthcare provider. based in Austell, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials F1116456. They hold a License No. F1116456 (GA). The NPI Number for SARAH PRESIDENT (F1116456) is 1912434168

Main info

Female
Sole Proprietor
12 Years Of Experience
Name
SARAH PRESIDENT (F1116456)
NPI
1912434168
Phone
(770) 575-4938
Address
1773 SWEETWATER ST
Enumeration Date
18 May 2017
Deactivation Date
21 May 2023
Reactivation Date
12 June 2023
Last Update Date
17 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7705754938
Graduation Year
2014 (12 years ago)
PAC ID
6002166196
Professional Enrollment ID
I20180911003504
Address ID
GA301063294AU1773XSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

3,103 FAMILY PRACTICE in GA

Provider Addresses for SARAH PRESIDENT (F1116456)

  • 1773 SWEETWATER ST

    AUSTELL, GA 301063294

    Phone: (770) 575-4938

    Fax: (470) 588-8862

    Type: Location

  • 2629 HILDERBRAND DR

    DOUGLASVILLE, GA 301355135

    Phone: (770) 616-7758

    Fax: (770) 562-9060

    Type: Mailing

  • 431, Sage Street, Temple, Carroll County, Georgia, 30179, United States

    TEMPLE, GA 301793726

    Phone: (770) 562-9007

    Fax: (770) 562-9060

    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: 2018-09-11

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
I20180911003504IFamily PracticeGATBD

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 minutes3016$0
View full utilization report →

Insurance plans in this area (ZIP 30106)

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Reviews

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Frequently asked questions

How is SARAH PRESIDENT (F1116456) identified in CMS data?
CMS-hosted NPPES data lists SARAH PRESIDENT (F1116456) with NPI 1912434168.
Can I rely on SARAH PRESIDENT (F1116456) being an active provider?
As of the registry snapshot, SARAH PRESIDENT (F1116456) is marked active.
What is SARAH PRESIDENT (F1116456)'s specialty?
The listing groups SARAH PRESIDENT (F1116456) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect SARAH PRESIDENT (F1116456) on a map?
Expect Austell, Georgia as a primary anchor for SARAH PRESIDENT (F1116456) unless the record lists multiple sites.
Is the information about SARAH PRESIDENT (F1116456) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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