Individual provider Active NPI

John W Sanders III, MD, MPH

  • Infectious Disease Physician
  • Wilmington, NC
National Provider Identifier
1184717183
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
26469 Issued in NC
Practice address
2310 Delaney Rd
Wilmington, NC 28403-6013
Phone
(910) 763-4511
Fax
(910) 763-6608
NPI assigned
Oct 2, 2006
Last updated
Jan 19, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 26469 NC Primary

Addresses

Primary practice location

2310 Delaney Rd
Wilmington, NC 28403-6013

Mailing address

2310 Delaney Rd
Wilmington, NC 28403-6013
Phone (910) 763-4511

Other identifiers 1

IdentifierTypeStateIssuer
8974455MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060220000026 NC Practitioner - Infectious Disease 8628083458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
University of North Carolina at Chapel Hill School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Infectious Disease ConsultantsGroup PAC ID 7719992544, 3 clinicians

Practice addresses (Care Compare)

2310 Delaney Ave
Wilmington, NC 28403-6013
Phone (910) 763-4511

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26469NCMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Infectious Disease Consultants Infectious Disease CurrentSince Jan 16, 2006 Accepting new patients

Locations

2310 Delaney Ave
Wilmington, NC 28403
Phone (910) 763-4511

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9622/brand/1/csg/1/fhir/r4
  • Direct secure messaging: john.sanders.1@9622.direct.athenahealth.com
  • Direct secure messaging: jsanders1251323@direct.novanthealth.org

Organizations & group practices 1

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1184717183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 DELANEY RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036013",
            "telephone_number": "910-763-4511",
            "fax_number": "910-763-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 DELANEY RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036013",
            "telephone_number": "910-763-4511",
            "fax_number": "910-763-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NC",
            "license": "26469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8974455",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.