Sarah Jordan Davis, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Lawerenceville, Georgia. Her current practice location is
Comprehensive Primary Care. Llc, 761 Walther Road, Suite 200, Lawerenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at
(678) 888-2279.
Sarah Jordan Davis is licensed to practice in Georgia (license number 249005) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1952995235.
Provider's Profile
| Full Name | Sarah Jordan Davis |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | Comprehensive Primary Care. Llc, Lawerenceville, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1952995235
- Provider Enumeration Date: 02/26/2021
- Last Update Date: 08/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 0648662254
- Enrollment ID: I20220111001605
Medical Identifiers
Medical identifiers for Sarah Jordan Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952995235 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 249005 (Georgia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sarah Jordan Davis allows following entities to bill medicare on her behalf.
| Entity Name | Southeast Medical Group, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235296054
PECOS PAC ID: 3577559673
Enrollment ID: O20040423000347 |
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| Entity Name | Comprehensive Primary Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487120820
PECOS PAC ID: 5395098867
Enrollment ID: O20181030002804 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sarah Jordan Davis is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Sarah Jordan Davis, FNP-C
Comprehensive Primary Care, Llc, 3905 Johns Creek Court, Suite 200,
Suwanee, GA 30024-1225
Ph: (678) 888-2273 | Sarah Jordan Davis, FNP-C
Comprehensive Primary Care. Llc, 761 Walther Road, Suite 200,
Lawerenceville, GA 30046
Ph: (678) 888-2279 |
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