DR. SARAH ELIZABETH DEROSSETT M.D. PHD. NPI 1023040417

NPI Information

NPI: 1023040417
Provider Name: DR. SARAH ELIZABETH DEROSSETT, M.D., PHD.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Address:
2665 N DECATUR RD
STE 630
DECATUR, GA
ZIP 30033
Phone: (404) 294-3040
Get Directions

DR. Sarah Elizabeth Derossett, M.D., PHD. is a neurology psychiatry neurology in Decatur, GA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Sarah Elizabeth Derossett, M.D., PHD. NPI is 1023040417. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2665 N DECATUR RD
STE 630
DECATUR, GA
ZIP 30033-149
Phone: (404) 294-3040
Fax: (404) 294-3050

The enumeration date for this NPI number is 7/7/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	034814	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F18046	MEDICARE UPIN	GEORGIA
2	00476352C	MEDICAID	GEORGIA
3	13BDDPG	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	MEDICARE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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