Jesse Neal Sandlin, PA-C, ATC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10538 Issued in GA

Practice address

1061 Dowdy Rd Ste 202
Athens, GA 30606-5700

Phone

(706) 389-8941

Fax

(706) 389-8942

NPI assigned

Jun 8, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arch Orthopedic and Spine, LLCGroup PAC ID 0244652782, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary'S Hospital Hospital, Athens, GA, CCN 110006
• Morgan Medical Center Hospital, Madison, GA, CCN 111304

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CGBBCD
• FHIR API: https://fhir4.healow.com/fhir/r4/CGBBCD/Endpoint/CGBBCD

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

• Arch Orthopedic and Spine, LLC

  • Orthopaedic Surgery Physician
  • Watkinsville, GA
  • NPI 1477175941
  Medicare reassignment Care Compare group
• Arch Orthopedic and Spine, LLC

  • Orthopaedic Surgery Physician
  • Loganville, GA
  • NPI 1073240917
  NPD (past)

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

• Morgan County Georgia Hospital Authority

  • Family Medicine Physician
  • Madison, GA
  • NPI 1083080105

  Hospital

  Care Compare affiliation
• Morgan County Georgia Hospital Authority

  • Critical Access Hospital
  • Madison, GA
  • NPI 1205843174
  Care Compare affiliation
• St. Mary'S Hospital, Inc.

  • General Acute Care Hospital
  • Athens, GA
  • NPI 1871556621
  Care Compare affiliation

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1306108196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 DOWDY RD STE 202",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065700",
            "telephone_number": "706-389-8941",
            "fax_number": "706-389-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 DOWDY RD STE 202",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065700",
            "telephone_number": "706-389-8941",
            "fax_number": "706-389-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDLIN",
        "first_name": "JESSE",
        "middle_name": "NEAL",
        "credential": "PA-C, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-08",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT002041",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "10538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle G Samsury
• Lauren Young Sanders, NP
• Lindsey Louise Moore Sanders
• Sheila J Sanders, PT
• Alice Mary Sanderson, CCC-A
• Dejahna Saner
• Vikas Kumar Sangwan, MD
• Roja Ramani Sanikapally, M.D.
• Eric Weston Sankey, M.D.
• Albert Santora, MD

• Physician Assistant in Athens, GA
• Providers in Athens, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.