Individual provider Active NPI

Beverly Barksdale Sanders III, M.D.

  • Internal Medicine Physician
  • Macon, GA
National Provider Identifier
1376772640
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
Practice address
1760 Bass Rd Ste 200B
Macon, GA 31210-1061
Phone
(478) 309-1294
Fax
(866) 493-3182
NPI assigned
Jul 8, 2009
Sex
Female
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 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
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
I20120327000475 GA Practitioner - Internal Medicine 4385804426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Mercer University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beverly B. Sanders, M.D., L.L.C.Group PAC ID 7214165547, 2 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

1760 Bass Rd
200B
Macon, GA 31210-1061

2600 Compass Rd
Glenview, IL 60026-8001

330 Hospital Dr
Macon, GA 31217-3872

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Macon, GA, CCN 117152
  • Amedisys Home Health of Macon Home health agency, Macon, GA, CCN 117093
  • Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107
  • Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164
  • Atrium Health Navicent Peach Hospital, Byron, GA, CCN 111310
  • Emory Houston Hospital Warner Robins Hospital, Warner Robins, GA, CCN 110069
  • Piedmont Macon North Hospital Hospital, Macon, GA, CCN 110201

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67159GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beverly B. Sanders, M.D., L.L.C. Internal Medicine CurrentSince Jan 17, 2014 Accepting new patients

Locations

330 Hospital Dr
Ste 304
Macon, GA 31217
Phone (478) 742-1010

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ICFDDD/Endpoint/ICFDDD
  • Direct secure messaging: beverly.sanders@bbsm.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 8

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": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1376772640",
    "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": "478-309-1294",
            "fax_number": "866-493-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "BEVERLY",
        "middle_name": "BARKSDALE",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "67159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.