Michael L Sanders, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15970 Issued in MS

Practice address

201 Highway 51 Unit a
Ridgeland, MS 39157

Phone

(601) 790-7105

Fax

(601) 790-7865

NPI assigned

Aug 5, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 23, 2018 through May 23, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531526400000",
    "number": "1033128681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HIGHWAY 51 UNIT A",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574425",
            "telephone_number": "601-790-7105",
            "fax_number": "601-790-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HIGHWAY 51 UNIT A",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "39157",
            "telephone_number": "601-790-7105",
            "fax_number": "601-790-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2018-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "15970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0122353",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taban Salem, PH.D.
• Carrington Albernise Sallie, NP
• Larry Keith Salter Jr., OT
• Angela Marie Sanders, LCSW, LICSW
• Kishina Shontrell Sanders, FNP-C
• Britney Sandifer, FNP-C
• Emily H Sandifer, OTR/L
• Sankoorikal Family Medicine PLLC
• Kathryn Michelle Sansing, PMHNP-BC
• Elizabeth Santibanez

• Family Medicine Physician in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.