Organization Active NPI

Ronny J Sayers MD PC

Doing business as Sardis Medical Center

  • Clinic/Center
  • Sardis, GA
National Provider Identifier
1053625962
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
24082 Issued in GA
Legal business name
RONNY J SAYERS MD PC
Doing business as
Sardis Medical Center
Practice address
639 Vestal Rd
Sardis, GA 30456-2155
Phone
(478) 569-4406
Fax
(478) 569-4151
NPI assigned
Aug 3, 2010
Last updated
Jan 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Authorized official

Name
Dr. Ronny J Sayers, MD
Title
Medical Director
Phone
(478) 569-4406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 24082 GA Primary

Addresses

Primary practice location

639 Vestal Rd
Sardis, GA 30456-2155

Mailing address

639 Vestal Rd
Sardis, GA 30456-2155
Phone (478) 569-4406

Other identifiers 1

IdentifierTypeStateIssuer
00292421BMedicaidGA

Other names 1

  • Sardis Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

639 Vestal Rd
Sardis, GA 30456
Phone (478) 368-5321

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1053625962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 VESTAL RD",
            "city": "SARDIS",
            "state": "GA",
            "postal_code": "304562155",
            "telephone_number": "478-569-4406",
            "fax_number": "478-569-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 VESTAL RD",
            "city": "SARDIS",
            "state": "GA",
            "postal_code": "304562155",
            "telephone_number": "478-569-4406",
            "fax_number": "478-569-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONNY J SAYERS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "SAYERS",
        "authorized_official_first_name": "RONNY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "478-569-4406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "24082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00292421B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sardis Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sardis, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.