Individual provider Active NPI

Crystal Jean Sanders, APRN, FNP-BC

  • Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1063141968
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN182852 Issued in GA
Practice address
225 Candler Dr
Savannah, GA 31405-6023
Phone
(912) 354-6187
NPI assigned
Jun 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN182852 GA
Nurse Practitioner 363L00000X RN182852 GA Primary

Addresses

Primary practice location

225 Candler Dr
Savannah, GA 31405-6023

Mailing address

836 E 65TH St Ste 4
Savannah, GA 31405-4491
Phone (912) 354-6187

Other practice location 1

159 W Railroad St, Bldg B
Pembroke, GA 31321
Phone (912) 354-6187

Other practice location 2

1497 Fair Rd Ste 311
Statesboro, GA 30458-0828
Phone (912) 354-6187

Other practice location 3

1499 Fair Rd
Statesboro, GA 30458-1683
Phone (912) 354-6187

Other practice location 4

5353 Reynolds St
Savannah, GA 31405-6015
Phone (912) 354-6187

Other practice location 5

459 Hwy 119 S Ste B
Springfield, GA 31329-3021
Phone (912) 800-6560

Other practice location 6

459 Hwy 119 S
Springfield, GA 31329-3021
Phone (912) 800-6560

Other practice location 7

11705 Mercy Blvd
Savannah, GA 31419-1711
Phone (912) 354-6187

Other practice location 8

4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 354-6187

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220616000214 GA Practitioner - Nurse Practitioner 0749669018 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN182852GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Candler Medical Oncology Practice, LLC CurrentSince Jul 1, 2022 Accepting new patients
Candler Medical Oncology Practice, LLC CurrentSince Jul 1, 2022 Accepting new patients
Effingham Physician Practices, LLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

836 E 65th St
Ste 4
Savannah, GA 31405
Phone (912) 303-1309

5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172

225 Candler Dr
Ste 300
Savannah, GA 31405

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

5400 Sutlive St
Savannah, GA 31405
Phone (912) 201-3825

11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452

225 Candler Dr
Savannah, GA 31405
Phone (912) 819-8571

459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200

459 Highway 119 S
Ste B
Springfield, GA 31329
Phone (912) 754-2560

1497 Fair Rd
Ste 311
Statesboro, GA 30458
Phone (340) 643-2227

1499 Fair Rd
Statesboro, GA 30458
Phone (912) 486-1000

1497 Fair Rd
Ste 305
Statesboro, GA 30458
Phone (912) 871-1360

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/candler-47b034e8

Organizations & group practices 3

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Candler Medical Oncology Practice LLC 26 clinicians

Practice addresses (Care Compare)

225 Candler Dr
Suite 300
Savannah, GA 31405-6091
Phone (912) 354-6187

5353 Reynolds St
Savannah, GA 31405-6015
Phone (912) 354-6187

Hospital & facility affiliations

  • Candler Hospital Hospital, Savannah, GA, CCN 110024

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1063141968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 E 65TH ST STE 4",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054491",
            "telephone_number": "912-354-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CANDLER DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056023",
            "telephone_number": "912-354-6187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "159 W Railroad St, Bldg B",
            "address_purpose": "LOCATION",
            "city": "Pembroke",
            "state": "GA",
            "postal_code": "31321",
            "country_code": "US",
            "telephone_number": "912-354-6187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1497 Fair Rd Ste 311",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304580828",
            "country_code": "US",
            "telephone_number": "912-354-6187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1499 Fair Rd",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304581683",
            "country_code": "US",
            "telephone_number": "912-354-6187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5353 Reynolds St",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314056015",
            "country_code": "US",
            "telephone_number": "912-354-6187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "459 Hwy 119 S Ste B",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "GA",
            "postal_code": "313293021",
            "country_code": "US",
            "telephone_number": "912-800-6560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "459 Hwy 119 S",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "GA",
            "postal_code": "313293021",
            "country_code": "US",
            "telephone_number": "912-800-6560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11705 Mercy Blvd",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314191711",
            "country_code": "US",
            "telephone_number": "912-354-6187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Waters Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314046220",
            "country_code": "US",
            "telephone_number": "912-354-6187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "CRYSTAL",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN182852",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN182852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.