Individual provider Active NPI

Steven L Sanderson, MD

  • Family Medicine Physician
  • Hickory, NC
National Provider Identifier
1508881681
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9900343 Issued in NC
Practice address
212 29TH Ave NE
Hickory, NC 28601-1084
Phone
(828) 326-0621
Fax
(828) 326-7105
NPI assigned
Jul 12, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9900343 NC Primary

Addresses

Primary practice location

212 29TH Ave NE
Hickory, NC 28601-1084

Mailing address

212 29TH Ave NE
Hickory, NC 28601-1084
Phone (828) 326-0658

Other identifiers 4

IdentifierTypeStateIssuer
H00092OtherNCUPIN
127FTOtherNCNC BCBS
9900343OtherNCNC LICENSE
89127FTMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050201000901 NC Practitioner - Family Practice 7911958574 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Cincinnati College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Catawba Valley Medical Group IncGroup PAC ID 6305007279, 133 clinicians

Practice addresses (Care Compare)

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

50 Macedonia Church Rd a
Taylorsville, NC 28681-8414
Phone (828) 732-5300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions29
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9900343NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Family Health Services, Inc. CurrentSince Jan 30, 2018 Accepting new patients
Gaston Family Health Services, Inc CurrentSince Jan 30, 2018 Accepting new patients
Catawba Valley Medical Group, Inc CurrentSince Apr 1, 2012 Accepting new patients
Catawba Valley Medical Group Inc CurrentSince Apr 1, 2012 Accepting new patients
Catawba Valley Medical Group, Inc Family Medicine Current Accepting new patients
Gaston Family Health Services, Inc. PastSince Dec 16, 2020 Accepting new patients
Catawba Valley Medical Center Past Accepting new patients
Catawba Valley Medical Group, Inc Past Accepting new patients
Catawba Valley Medical Group, Inc Family Medicine Past Accepting new patients

Locations (25 of 36)

119 W Pennsylvania Ave
Bessemer City, NC 28016
Phone (704) 629-3465

200 Rosenwald School St
Catawba, NC 28609
Phone (828) 241-2377

3114 W Main St
Claremont, NC 28610
Phone (828) 459-7324

111 E 3rd Ave
Gastonia, NC 28052
Phone (704) 853-5079

1225 E Garrison Blvd
Gastonia, NC 28054
Phone (704) 865-7416

200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904

409 S Oakland St
Gastonia, NC 28052

609 N Highland St
Gastonia, NC 28052
Phone (704) 772-4700

620 Summit Crossing Pl
Gastonia, NC 28054
Phone (704) 285-0241

890 Summit Crossing Pl
Gastonia, NC 28054
Phone (704) 853-5000

991 W Hudson Blvd
Gastonia, NC 28052
Phone (704) 853-5000

133 1st Ave SE
Hickory, NC 28602
Phone (828) 944-4544

1501 Tate Blvd SE
Hickory, NC 28602
Phone (828) 322-4140

212 29th Ave NE
Ste 1
Hickory, NC 28601
Phone (828) 326-0658

2365 Springs Rd NE
Hickory, NC 28601
Phone (828) 256-2112

2386 Springs Rd NE
Hickory, NC 28601
Phone (828) 256-2112

2712 S NC 127 Hwy
Hickory, NC 28602
Phone (828) 330-0511

3070 11th Avenue Dr SE
Hickory, NC 28602
Phone (828) 466-7196

810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000

915 Tate Blvd SE
Hickory, NC 28602
Phone (828) 327-6673

502 W King St
Kings Mtn, NC 28086
Phone (704) 730-8461

420 N Salisbury St
Lexington, NC 27292
Phone (336) 243-7475

212 Gamble Dr
Lincolnton, NC 28092
Phone (704) 735-7145

137 Island Ford Rd
Maiden, NC 28650
Phone (828) 428-2446

172 S Clement St
Mocksville, NC 27028
Phone (336) 477-2251

Interoperability endpoints

  • Direct secure messaging: steven.sanderson@cvmg.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1508881681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 29TH AVE NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286011084",
            "telephone_number": "828-326-0658",
            "fax_number": "828-326-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 29TH AVE NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286011084",
            "telephone_number": "828-326-0621",
            "fax_number": "828-326-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "STEVEN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9900343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "H00092",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BCBS",
            "identifier": "127FT",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE",
            "identifier": "9900343",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89127FT",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.