Individual provider Active NPI

Pamela Jean Sanders, FNP

  • Family Nurse Practitioner
  • Southaven, MS
National Provider Identifier
1265892749
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000020782 Issued in TN
Practice address
401 Southcrest Cir Ste 212
Southaven, MS 38671-6721
Phone
(662) 245-5270
Fax
(662) 351-9471
NPI assigned
Feb 26, 2016
Last updated
Nov 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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 APN0000020782 TN Primary

Addresses

Primary practice location

401 Southcrest Cir Ste 212
Southaven, MS 38671-6721

Mailing address

PO Box 1089
Hammond, LA 70404-1089
Phone (615) 425-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, OH, VA, WV, IN, KY6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20160309000677 TN Practitioner - Nurse Practitioner 6709182264 Reassigns benefits to 2 organizations
I20250403001442 OH Practitioner - Nurse Practitioner 6709182264 Reassigns benefits to 1 organization
I20250410003536 VA Practitioner - Nurse Practitioner 6709182264 Reassigns benefits to 1 organization
I20250410003544 WV Practitioner - Nurse Practitioner 6709182264 Reassigns benefits to 1 organization
I20251007000468 IN Practitioner - Nurse Practitioner 6709182264 Reassigns benefits to 1 organization
I20260305000800 KY Practitioner - Nurse Practitioner 6709182264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spero Health of Virginia LLCGroup PAC ID 5193102788, 7 clinicians
Spero Health of Tennessee, LLCGroup PAC ID 0941683593, 21 clinicians
Spero Health of Kentucky, LLCGroup PAC ID 1052792041, 57 clinicians
Spero Health of Ohio, LLCGroup PAC ID 4486030376, 20 clinicians

Practice addresses (Care Compare)

30 Town Ctr Dr
Dublin, VA 24084-6069
Phone (540) 779-7516

301 Wolverine TRL
Suite 200
Smyrna, TN 37167-5656
Phone (615) 751-0579

415 Ky
Suite 225
Barbourville, KY 40906-7759
Phone (606) 619-4086

418 Colegate Dr
Marietta, OH 45750-9549
Phone (740) 374-8730

Merit-based Incentive Payment System (MIPS)

Final score
88.15 of 100Reported as group
Quality
59.97
Promoting interoperability
100
Improvement activities
40
Cost
80.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000020782TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spero Health of Virginia, LLC CurrentSince Dec 29, 2024 Accepting new patients
Ut Medical Group, Inc. CurrentSince Jan 20, 2021 Accepting new patients
Spero Health of Ohio, LLC CurrentSince Feb 3, 2025 Accepting new patients
Spero Health of Tennessee, LLC CurrentSince Oct 16, 2024 Accepting new patients
Spero Health of West Virginia, LLC CurrentSince Jan 21, 2025 Accepting new patients
Ut Medical Group Inc CurrentSince Jan 20, 2021 Accepting new patients
Spero Health of Indiana, LLC CurrentSince Aug 4, 2025 Accepting new patients
Spero Health of Kentucky, LLC CurrentSince Dec 30, 2025 Accepting new patients
Collierville Orthopedics and PastSince Feb 5, 2024 Accepting new patients

Locations

7750 Madison Ave
Indianapolis, IN 46227
Phone (317) 888-2827

8202 Clearvista Pkwy
Indianapolis, IN 46256
Phone (317) 288-9942

3700 N Briarwood Ln
Ste A
Muncie, IN 47304
Phone (765) 273-4281

415 Ky 225
Barbourville, KY 40906
Phone (606) 619-4086

1493 S Arlington St
Akron, OH 44306
Phone (234) 274-5827

4109 Tuscarawas St W
Unit 4A
Canton, OH 44708
Phone (234) 425-6682

5966 Boymel Dr
Unit 1
Fairfield, OH 45014
Phone (513) 880-0016

270 Lexington Ave
Ste 108
Mansfield, OH 44907
Phone (234) 204-2558

418 Colegate Dr
Marietta, OH 45750
Phone (740) 236-9047

552 N Park Ave
Warren, OH 44481
Phone (234) 243-3127

7067 Tiffany Blvd
Ste 270
Youngstown, OH 44514
Phone (234) 230-1627

155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359

2237 Lowes Dr W
Ste B
Clarksville, TN 37040
Phone (931) 266-0722

118 Highway 70 E
Dickson, TN 37055
Phone (615) 446-4999

501 Adesa Blvd
Ste 300
Lenoir City, TN 37771
Phone (865) 988-6922

1035 E Old Hickory Blvd
Madison, TN 37115
Phone (615) 868-6464

1068 Cresthaven Rd
Ste 110
Memphis, TN 38119
Phone (901) 405-6454

930 Madison Ave
Ste 200
Memphis, TN 38103
Phone (901) 448-6650

11618 Chapman Hwy
Ste A
Seymour, TN 37865
Phone (865) 505-2813

301 Wolverine Trl
Ste 200
Smyrna, TN 37167
Phone (615) 459-5228

30 Town Center Dr
Dublin, VA 24084
Phone (540) 779-7516

314 Fairy Street Ext
Ste B
Martinsville, VA 24112
Phone (276) 201-1647

95 Rosebud Plz
Ste 104
Clarksburg, WV 26301
Phone (304) 212-7482

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2699/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.qualifacts.org/api/fhir/sperohealth/r4/

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1265892749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1089",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704041089",
            "telephone_number": "615-425-4200",
            "fax_number": "615-425-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SOUTHCREST CIR STE 212",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716721",
            "telephone_number": "662-245-5270",
            "fax_number": "662-351-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "PAMELA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000020782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

Verify at the official NPI Registry.