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SARAH NEELY PARK MD
NPI 1265646822
Psychiatry & Neurology - Child & Adolescent Psychiatry in Augusta, GA

Active since May 10, 2007PECOS Enrolled
127 TELFAIR ST, AUGUSTA, GA 30901(706) 922-0600 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 21, 2023, Apr 5, 2019 (2 updates tracked since 2019).

About Sarah Neely Park Md NPPES

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

SARAH NEELY PARK MD (NPI 1265646822) is an individual child & adolescent psychiatry provider in Augusta, Georgia, licensed in Georgia (66156) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265646822
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameSARAH NEELY PARKCredential: MD
Location Address127 TELFAIR STAugusta, GA 30901-2590
Mailing Address127 Telfair StAugusta, GA 30901-2590 · (706) 922-0600
Phone(706) 922-0600
Sole ProprietorNo
Enumeration DateMay 10, 2007
Last NPPES UpdateJuly 21, 20232 updates tracked since enumeration
NPPES CertifiedJuly 21, 2023
✔ NPI 1265646822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in GA · 66156
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 66156 (GA)
127 TELFAIR ST, Augusta, GA 30901
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Other Names 1

Former Name (1)Sarah D Neely

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sarah Neely Park Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sarah Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ethne Health, Inc
134 mi
Federally Qualified Health Center (FQHC)
980 ROWLAND ST STE 4190
Clarkston, GA 30021
  • Reassigned Medicare billing, Georgia enrollment
  • 13 clinicians in this Medicare group
NPI 1538646054 (470) 799-0044

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PATRICK MCMILLAN KELLY MD
Internal Medicine
127 TELFAIR ST
AUGUSTA, GA 30901
Richmond County (706) 922-0600
YAMIL JOSE SANTANA LPC
Counselor (Professional)
127 TELFAIR ST
AUGUSTA, GA 30901
Richmond County (706) 922-0600
CHRIST COMMUNITY HEALTH SERVICES AUGUSTA, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
127 TELFAIR ST
AUGUSTA, GA 30901
Richmond County (706) 922-0600
KELLY STEVENS AGUILAR RDH
Dental Hygienist
127 TELFAIR ST
AUGUSTA, GA 30901
Richmond County (706) 922-0601
DR. JOHN LEWIS GOOD DDS
Dentist (General Practice)
127 TELFAIR ST
AUGUSTA, GA 30901
Richmond County (706) 922-0600
MRS. KATHERINE ANN DRIVER APRN
Nurse Practitioner (Family)
127 TELFAIR ST
AUGUSTA, GA 30901
Richmond County (706) 922-0600
DR. JEREMIAH J WILSON MD
Family Medicine
127 TELFAIR ST
AUGUSTA, GA 30901
Richmond County (706) 922-0600
DR. KARISSA KING WILSON MD
Family Medicine
127 TELFAIR ST
AUGUSTA, GA 30901
Richmond County (706) 922-0600

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 Sarah Park's NPI number?

The NPI number for Sarah Park is 1265646822. It was assigned to this individual provider in the NPPES registry on May 10, 2007. The provider is also known as Sarah D Neely.

Where is Sarah Park located?

Sarah Park practices at 127 Telfair St, Augusta, GA 30901. The listed phone number is (706) 922-0600.

What is Sarah Park's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Sarah Park enrolled in Medicare?

Yes. Sarah Park is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sarah Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Park reassigns Medicare benefits to Ethne Health, Inc (Clarkston, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sarah Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sarah Park accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Sarah Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sarah Park was last updated on July 21, 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.