Active NPI
Emily Sanders, NP
- Family Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1184258865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN281393
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN281393 | Other | GA | GEORGIA BOARD OF NURSING |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN281393 | GA | MD | Family 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.