Individual provider Active NPI

Emily Sanders, NP

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1184258865
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN281393 Issued in GA
Practice address
755 Mount Vernon Hwy NE Ste 350
Atlanta, GA 30328-4291
Phone
(404) 843-3636
NPI assigned
Mar 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN281393 GA Primary

Addresses

Primary practice location

755 Mount Vernon Hwy NE Ste 350
Atlanta, GA 30328-4291

Mailing address

1966 Cobblestone Cir NE
Brookhaven, GA 30319-4906
Phone (404) 435-7659

Other identifiers 1

IdentifierTypeStateIssuer
RN281393OtherGAGEORGIA BOARD OF NURSING

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Nextech

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN281393GAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1184258865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1966 COBBLESTONE CIR NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303194906",
            "telephone_number": "404-435-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY NE STE 350",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284291",
            "telephone_number": "404-843-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "EMILY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN281393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA BOARD OF NURSING",
            "identifier": "RN281393",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Nextech",
            "affiliation": "N",
            "endpointDescription": "Cloud System",
            "address_1": "755 Mount Vernon Hwy NE Ste 350",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303284291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.