Organization Active NPI

Beverly B. Sanders, M.D., L.L.C.

  • Internal Medicine Physician
  • Macon, GA
National Provider Identifier
1295169274
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
67159 Issued in GA
Legal business name
BEVERLY B. SANDERS, M.D., L.L.C.
Practice address
1760 Bass Rd Ste 200B
Macon, GA 31210-1061
Phone
(478) 304-1294
Fax
(866) 493-3182
NPI assigned
Aug 27, 2013
Last updated
Apr 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Hannah P Barfield
Title
Billing Manager
Phone
(478) 951-6501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 67159 GA Primary

Addresses

Primary practice location

1760 Bass Rd Ste 200B
Macon, GA 31210-1061

Mailing address

1760 Bass Rd Ste 200B
Macon, GA 31210-1061
Phone (478) 309-1294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140114000517 GA Part B Supplier - Clinic/Group Practice 7214165547 Receives reassigned benefits from 2 practitioners
Practice locations: Macon, GA

National Provider Directory

National Provider Directory

Locations

1760 Bass Rd
Ste 200B
Macon, GA 31210
Phone (478) 309-1294

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1295169274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 BASS RD STE 200B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101061",
            "telephone_number": "478-309-1294",
            "fax_number": "866-493-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 BASS RD STE 200B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101061",
            "telephone_number": "478-304-1294",
            "fax_number": "866-493-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY B. SANDERS, M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "BARFIELD",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "478-951-6501"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "67159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.