Active NPI
Sanford Stuart Hartman, MD
- Rheumatology Physician
- Decatur, GA
National Provider Identifier
1497762389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 16075
- Practice address
- 2712 North Decatur Road
Decatur, GA 30033-5910 - Phone
- (404) 292-5222
- Fax
- (404) 294-9535
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 16075 | GA | Primary |
Addresses
Primary practice location
2712 North Decatur Road
Decatur, GA 30033-5910
Mailing address
2712 North Decatur Road
Decatur, GA 30033-5910
Phone (404) 292-5222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0545344 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Specialty Associates, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1497762389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2712 NORTH DECATUR ROAD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300335910",
"telephone_number": "404-292-5222",
"fax_number": "404-294-9535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2712 NORTH DECATUR ROAD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300335910",
"telephone_number": "404-292-5222",
"fax_number": "404-294-9535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTMAN",
"first_name": "SANFORD",
"middle_name": "STUART",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "GA",
"license": "16075",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0545344",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.