Individual provider Active NPI

Craig J Sander, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Memphis, TN
National Provider Identifier
1477523322
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
MD0000013362 Issued in TN
Practice address
6215 Humphreys Blvd
Ste 310
Memphis, TN 38120-2367
Phone
(901) 747-0291
Fax
(901) 747-0299
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X MD0000013362 TN Primary
Neonatal-Perinatal Medicine Physician 2080N0001X 14896 MS

Addresses

Primary practice location

6215 Humphreys Blvd
Ste 310
Memphis, TN 38120-2367

Mailing address

6215 Humphreys Blvd
Ste 310
Memphis, TN 38120-2367
Phone (901) 747-0291

Other practice location 1

2124 14th St
Meridian, MS 39301-4040
Phone (601) 553-6000

Other identifiers 1

IdentifierTypeStateIssuer
5006696MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230413002836 FL Practitioner - Pediatric Medicine 4284009721 Reassigns benefits to 1 organization
I20230424002023 MS Practitioner - Pediatric Medicine 4284009721 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000013362TNMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jun 1, 2023 Accepting new patients
University of Florida Jacksonville Physicians Inc Neonatal-Perinatal Medicine CurrentSince Apr 5, 2023 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jun 1, 2023 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Apr 5, 2023 Accepting new patients
Warren Clinic Inc Past Accepting new patients
Anderson Regional Medical Center Past Accepting new patients
East Memphis Neonatology Associates P.C Neonatal-Perinatal Medicine Past Accepting new patients

Locations

1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110

504 Clinton Center Dr
Ste 4300
Clinton, MS 39056

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

4566 S Eason Blvd
Tupelo, MS 38801
Phone (662) 377-4962

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72952

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1477523322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6215 HUMPHREYS BLVD",
            "address_2": "STE 310",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202367",
            "telephone_number": "901-747-0291",
            "fax_number": "901-747-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6215 HUMPHREYS BLVD",
            "address_2": "STE 310",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202367",
            "telephone_number": "901-747-0291",
            "fax_number": "901-747-0299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2124 14th St",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014040",
            "country_code": "US",
            "telephone_number": "601-553-6000",
            "fax_number": "601-703-0124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDER",
        "first_name": "CRAIG",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TN",
            "license": "MD0000013362",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MS",
            "license": "14896",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5006696",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.