Individual provider Active NPI

Andrew Sanders, M.D.

  • Internal Medicine Physician
  • Evans, GA
National Provider Identifier
1538112347
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
30876 Issued in GA
Practice address
4720 Washington Rd
Evans, GA 30809-5875
Phone
(706) 650-0111
Fax
(706) 651-1882
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD38104 SC
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 30876 GA
Internal Medicine Physician 207R00000X 30876 GA Primary

Addresses

Primary practice location

4720 Washington Rd
Evans, GA 30809-5875

Mailing address

PO Box 1705
Augusta, GA 30903-1705
Phone (706) 774-7263

Other practice location 1

820 St. Sebastian Way
Suite 4C
Augusta, GA 30901
Phone (706) 774-5996

Other identifiers 1

IdentifierTypeStateIssuer
SC8196E696OtherSCPALMETTO GBA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 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
I20100420000009 GA Practitioner - Internal Medicine 5193852440 Reassigns benefits to 1 organization
I20160620002185 SC Practitioner - Internal Medicine 5193852440 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Maryland School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Professional Services LLCGroup PAC ID 8921176231, 171 clinicians

Practice addresses (Care Compare)

1021 Silver Bluff Rd
Aiken, SC 29803-5879
Phone (803) 648-0587

95 Collier Rd NW
Suite 4045
Atlanta, GA 30309-1749
Phone (404) 351-2270

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD38104SCMDInternal Medicine Physician
30876GAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Professional Services, LLC CurrentSince Sep 1, 2023 Accepting new patients
Umg Primary Care South Carolina, LLC CurrentSince May 14, 2017 Accepting new patients
Piedmont Medical Care Corporation Internal Medicine CurrentSince Dec 31, 2023 Accepting new patients
University Prompt Care Current Accepting new patients
University Health Care Physicians LLC Internal Medicine Current Accepting new patients

Locations

95 Collier Rd NW
Ste 4045
Atlanta, GA 30309
Phone (404) 351-2270

820 Saint Sebastian Way
Ste 4C
Augusta, GA 30901
Phone (706) 774-5997

465 N Belair Rd
Ste 2B
Evans, GA 30809
Phone (706) 774-7400

447 N Belair Rd
Ste 101
Evans, GA 30809
Phone (706) 854-2222

1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415

1021 Silver Bluff Rd
Aiken, SC 29803
Phone (803) 648-0587

1023 Silver Bluff Rd
Aiken, SC 29803
Phone (803) 502-5515

325 Georgia Ave
Ste 100
North Augusta, SC 29841
Phone (803) 202-3351

325 Georgia Ave
Ste 200
North Augusta, SC 29841
Phone (803) 202-3351

Organizations & group practices 5

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 1

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1538112347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309031705",
            "telephone_number": "706-774-7263",
            "fax_number": "706-774-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 WASHINGTON RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308095875",
            "telephone_number": "706-650-0111",
            "fax_number": "706-651-1882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 St. Sebastian Way",
            "address_2": "SUITE 4C",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "30901",
            "country_code": "US",
            "telephone_number": "706-774-5996",
            "fax_number": "706-774-5996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "MD38104",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "GA",
            "license": "30876",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "30876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "SC8196E696",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

Verify at the official NPI Registry.