=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154322881
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SARA D DORSEY CPNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/03/2005
-----------------------------------------------------
Last Update Date | 10/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1140 HAMMOND DR NE SUITE E5250
-----------------------------------------------------
City | ATLANTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30328-5338
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 404-256-2688
-----------------------------------------------------
Fax | 404-256-1820
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 333 SANDY SPRINGS CIR STE 207
-----------------------------------------------------
City | ATLANTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30328-3834
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 404-705-8990
-----------------------------------------------------
Fax | 404-705-9984
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0222X
-----------------------------------------------------
Taxonomy Name | Critical Care Pediatric Nurse Practitioner
-----------------------------------------------------
License Number | RN152697
-----------------------------------------------------
License Number State | GA
-----------------------------------------------------