Marion Virgil Sanders IV, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2401 State Ave Ste 100
Panama City, FL 32405-3942

Phone

(850) 628-9177

NPI assigned

Jan 5, 2010

Sex

Male

Sole proprietor

No

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

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Advanced Vascular Institute, LLC

  • Vascular & Interventional Radiology Physician
  • Panama City, FL
  • NPI 1700640802
  NPD (past)

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1093045668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 STATE AVE STE 100",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053942",
            "telephone_number": "850-628-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 STATE AVE STE 100",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053942",
            "telephone_number": "850-628-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "MARION",
        "middle_name": "VIRGIL",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-05",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pola Sanchez-Baker, LMHC
• Angelo Luis Sanchez Jr., IDC
• Billie Jo Sanders Johnson, LMHC
• Amity May Sanders, RD
• Joanne C Sanders, RN
• Megan Sanders, LMHC
• Nelson Wayne Sanders, PT
• Robert Earl Sanders, EDD
• Shelley Sanders, M.S.
• Cheryl Kay Sandlin, RN

• Physician Assistant in Panama City, FL
• Providers in Panama City, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.