Ronald Gene Sanders II, RONALD SANDERS

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

4325 Old Lake Dr
Decatur, GA 30034-6430

Phone

(770) 843-0929

NPI assigned

Sep 22, 2010

Last updated

Sep 22, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• First Class Healthcare LLC

  • Health Maintenance Organization
  • Lawrenceville, GA
  • NPI 1639891765
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285113600000",
    "number": "1013225242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 OLD LAKE DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300346430",
            "telephone_number": "770-843-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 OLD LAKE DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300346430",
            "telephone_number": "770-843-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "RONALD",
        "middle_name": "GENE",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "RONALD  SANDERS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Virani Sanders, FNP-C
• Amanda A Sanders, PA-C
• Belinda Zoe Sanders, MASTER COSMETOLOGIST
• Ciara Sanders, OTR/L
• Kenard Sanders, PHD, LPC
• Roy Quincy Sanders, MD
• Sandi J. Stephens Inc. (Therapeutic Edge)
• Emiliana Sandiego, M.D.
• Kathryn Hunter Sandifer, LPC
• Sandy Chiropractic PC

• Physician Assistant in Decatur, GA
• Providers in Decatur, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.