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NPI Code Detail

MEDICARE: SARA CAROLINE PASSEY PA-C

MEDICARE:   SARA CAROLINE PASSEY  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA60421565WA
2363A00000XPhysician Assistant016923NY
3363A00000XPhysician Assistant0010-13414NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558633198
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA CAROLINE PASSEY PA-C
Provider Business Mailing Address
First Line : 4125 LAWNDALE DR
Second Line :
City : GREENSBORO
State : NC
Zip : 27455-1827
Country : US
Telephone Number : 336-543-0786
Fax Number : 336-234-5411
Provider Business Practice Location Address
First Line : 4125 LAWNDALE DR
Second Line :
City : GREENSBORO
State : NC
Zip : 27455-1885
Country : US
Telephone Number : 336-543-0786
Fax Number : 336-234-5411
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2012
Last Update Date : 04/09/2026

Similar Medicare Providers

1730141805 — ELIZABETH R DEWEY MD
Practice Location Address:
4125 LAWNDALE DR
GREENSBORO, NC
27455-1885
Practice Phone: 336-543-0786
Practice Fax: 336-234-5411
1013958115 — ANGELA MARIE MULLER F.N.P.
Practice Location Address:
4125 LAWNDALE DR
GREENSBORO, NC
27455-1885
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Practice Fax: 336-234-5411
1780847731 — MRS. EWA L BRENNAN R.N.,M.S.N.,A.N.P.,C
Practice Location Address:
4125 LAWNDALE DR
GREENSBORO, NC
27455-1885
Practice Phone: 336-543-0786
Practice Fax:
1366704488 — KIMBERLY ANNE TATUM N.P.
Practice Location Address:
4125 LAWNDALE DR
GREENSBORO, NC
27455-1885
Practice Phone: 336-543-0786
Practice Fax: 336-234-5411
1932652807 — ELIZABETH DEWEY MD
Practice Location Address:
4125 LAWNDALE DR
GREENSBORO, NC
27455-1885
Practice Phone: 336-543-0786
Practice Fax: 336-234-5411
1942695382 — DYLAN JOSEPH SUTTLE M.D.
Practice Location Address:
1305 LEES CHAPEL RD STE 103
GREENSBORO, NC
27455-2883
Practice Phone: 336-499-9513
Practice Fax: 877-682-4705

Directions to “ SARA CAROLINE PASSEY PA-C” Practice Location

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