NPIMap

Organization Active NPI

Tia S Sanderlin MD PC

  • Family Medicine Physician
  • Adel, GA
National Provider Identifier
1659554459
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
051379 Issued in GA
Legal business name
TIA S SANDERLIN MD PC
Practice address
707 N Parrish Ave
Adel, GA 31620-1521
Phone
(229) 896-7007
Fax
(229) 896-7627
NPI assigned
Dec 14, 2007
Last updated
Apr 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Tammie Ferguson
Title
Office Manager
Phone
(229) 896-7007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 051379 GA Primary

Addresses

Primary practice location

707 N Parrish Ave
Adel, GA 31620-1521

Mailing address

707 N Parrish Ave
Adel, GA 31620-1521
Phone (229) 896-7007

National Provider Directory

National Provider Directory

Locations

707 N Parrish Ave
Adel, GA 31620
Phone (229) 896-7007

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1659554459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N PARRISH AVE",
            "city": "ADEL",
            "state": "GA",
            "postal_code": "316201521",
            "telephone_number": "229-896-7007",
            "fax_number": "229-896-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N PARRISH AVE",
            "city": "ADEL",
            "state": "GA",
            "postal_code": "316201521",
            "telephone_number": "229-896-7007",
            "fax_number": "229-896-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIA S SANDERLIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "229-896-7007"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "051379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adel, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.