Sanya Elizabeth Gayle, M.D.
Individual provider Active NPI Internal Medicine Physician · Cartersville, GA
NPI 1013224294 · NPPES record last updated Sep 8, 2010
Key facts
- NPI
- 1013224294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 065112 (GA)
- Practice address
- 960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129 - Phone
- (770) 382-1530
- NPI assigned
- Sep 8, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospital Physician Services - Southeast Professional Corporation
Practice addresses (Care Compare)
501 Redmond Rd NW
Rome, GA 30165-1415
Phone (706) 291-0291
Hospital & facility affiliations
- Doctors Hospital
- Memorial Satilla Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110103000224 | GA | Practitioner - Internal Medicine | 6507054707 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 065112 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 24 On Physicians, PC | Current |
Accepting new patients | |
| Hospital Physician Services - Southeast Professional Corporation | Current |
Accepting new patients | |
| 24 On Physicians, P.C. | Current |
Accepting new patients | |
| Indian Mounds Inpatient Services LLC | Past | Accepting new patients | |
| Doctors Hospital of Augusta LLC | Past | Accepting new patients | |
| Southeast Georgia Health Services, L.L.C. | Past | Accepting new patients | |
| Mount Lassen Emergency Physicians LLC | Past | Accepting new patients |
Locations
13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004
3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232
501 Redmond Rd NW
Fl 6
Rome, GA 30165
Phone (706) 368-8452
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000
1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229
801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371
Interoperability endpoints
- sanya.gayle@hca1.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 065112 | GA | Yes |
Addresses
Primary practice location
960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129
Mailing address
1475 Juneau Way
Grayson, GA 30017-2915
Other providers in Cartersville, GA
- Morgan M Garrett
- Gasc Assisting LLC
- Gathering Angels Home Care LLC
- Gay Lyn Ferry - Chiropractor, LLC
- Jessica Ashley Gaydos
- Jennifer Gazaway
- Katie Michelle Gee
- Patrick J Geist
- Genesis Rehab Services
- Georgia Bone & Joint Surgeons, P.C,
All providers in Cartersville, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.