Fredniki Ladoris Sanders, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

GAA-NP004052 Issued in GA

Practice address

4192 Salem Rd
Covington, GA 30016-4532

Phone

(770) 788-2026

NPI assigned

Jul 21, 2025

Last updated

Sep 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Judith Ruth Medical Center LLC

  • Family Nurse Practitioner
  • Lithia Springs, GA
  • NPI 1144912270

  Single Specialty

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  GA

  Medicare reassignment
• View Point Behavioral Health

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Austell, GA
  • NPI 1962284810

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1043192164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4192 SALEM RD",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300164532",
            "telephone_number": "770-788-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4192 SALEM RD",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300164532",
            "telephone_number": "770-788-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "FREDNIKI",
        "middle_name": "LADORIS",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-21",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP004052",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-150530",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salem Pharmacy LLC (Salem Pharmacy)
• Krystal Abygayle Samuel
• Sherley C Samuels, M.D.
• Nathan Gabriel Manarang San Felipe
• Danielle Ashlene Sanders-Pacheco, BCBA
• Ruquiyah Sanders, LDO
• Monica Sandford, RN
• Sappheria Homecare Agency of Georgia LLC
• Hasan Abm Sarwar
• Halley Sauer, SLP

• Family Nurse Practitioner in Covington, GA
• Providers in Covington, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.