Individual provider Active NPI

Michelle Ann Sanford, CRNP

  • Gerontology Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1487076873
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1-059045 Issued in AL
Practice address
3719 Dauphin St
5TH Floor
Mobile, AL 36608-1753
Phone
(251) 625-6896
Fax
(251) 625-6897
NPI assigned
Jan 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 1-059045 AL
Gerontology Nurse Practitioner 363LG0600X 1-059045 AL Primary

Addresses

Primary practice location

3719 Dauphin St
5TH Floor
Mobile, AL 36608-1753

Mailing address

29653 Anchor Cross Blvd
Daphne, AL 36526-9594
Phone (251) 625-6896

Other practice location 1

6701 Airport Blvd.
B Bldg., T Level
Mobile, AL 36608-3764
Phone (251) 625-6896

Other identifiers 3

IdentifierTypeStateIssuer
192617MedicaidAL
102I506859OtherALMEDICARE PTAN
P01576999OtherALRAILROAD MEDICARE

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20140415001568 AL Practitioner - Nurse Practitioner 8224260773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Cancer Center PCGroup PAC ID 5597860403, 25 clinicians

Practice addresses (Care Compare)

3719 Dauphin St
Suite 5
Mobile, AL 36608-1753
Phone (251) 625-6896

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.81 of 100Reported as subgroup
Quality
91.87
Promoting interoperability
100
Improvement activities
40
Cost
71.54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-059045ALMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Cancer Center, PC Hematology & Oncology CurrentSince Mar 1, 2014 Accepting new patients
Sacred Heart Health System, Inc. Hematology & Oncology Current Accepting new patients
Southern Cancer Center, PC CurrentSince Mar 1, 2014 Accepting new patients

Locations

29653 Anchor Cross Blvd
Daphne, AL 36526
Phone (251) 626-1755

669 S McKenzie St
Ste 103
Foley, AL 36535
Phone (850) 934-2180

3719 Dauphin St
#5
Mobile, AL 36608
Phone (251) 433-5557

3719 Dauphin St
Ste 102
Mobile, AL 36608
Phone (251) 344-1502

6701 Airport Blvd
Bldg T
Mobile, AL 36608

3719 Dauphin St
Fl 5
Mobile, AL 36608
Phone (251) 607-5061

6701 Airport Blvd
Bldg B
Mobile, AL 36608
Phone (251) 633-1890

6701 Airport Blvd
Mobile, AL 36608
Phone (251) 545-4776

Interoperability endpoints

  • Direct secure messaging: michelle.sanford@southerncancercenter.ikm.direct-ci.com

Organizations & group practices 3

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 3

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": "1390176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1487076873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29653 ANCHOR CROSS BLVD",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269594",
            "telephone_number": "251-625-6896",
            "fax_number": "251-625-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 DAUPHIN ST",
            "address_2": "5TH FLOOR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081753",
            "telephone_number": "251-625-6896",
            "fax_number": "251-625-6897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6701 Airport Blvd.",
            "address_2": "B Bldg., T Level",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366083764",
            "country_code": "US",
            "telephone_number": "251-625-6896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-20",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AL",
            "license": "1-059045",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-059045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192617",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "102I506859",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01576999",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.