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MRS. PHYLLIS WRENN SACKARIASEN PA-C
NPI 1205824760
Physician Assistant in Sugar Valley, GA

Active since October 10, 2005
3090 SUGAR VALLEY RD NW, SUGAR VALLEY, GA 30746(706) 624-4661(706) 624-4698 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Phyllis Wrenn Sackariasen Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. PHYLLIS WRENN SACKARIASEN PA-C (NPI 1205824760) is an individual physician assistant in Sugar Valley, Georgia, licensed in Georgia (002147) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1205824760
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. PHYLLIS WRENN SACKARIASENCredential: PA-C
Location Address3090 SUGAR VALLEY RD NWSugar Valley, GA 30746-5166
Mailing Address3090 Sugar Valley Rd NwSugar Valley, GA 30746-5166 · (706) 624-4661 · Fax (706) 624-4698
Phone(706) 624-4661
Fax(706) 624-4698
Sole ProprietorYes
Enumeration DateOctober 10, 2005
Last NPPES UpdateMarch 7, 2023
✔ NPI 1205824760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 002147
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3090 SUGAR VALLEY RD NW, Sugar Valley, GA 30746
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Other Names 1

Former Name (1)Phyllis Wrenn Sloan Pa-c

Other Identifiers 1

Medicaid236050967AGA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phyllis Sackariasen's NPI number?

The NPI number for Phyllis Sackariasen is 1205824760. It was assigned to this individual provider in the NPPES registry on October 10, 2005. The provider is also known as Phyllis Wrenn Sloan Pa-C.

Where is Phyllis Sackariasen located?

Phyllis Sackariasen practices at 3090 Sugar Valley Rd NW, Sugar Valley, GA 30746. The listed phone number is (706) 624-4661.

What is Phyllis Sackariasen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Phyllis Sackariasen was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.