Individual provider Active NPI

Caroline Sanders, FNP-C

  • Family Nurse Practitioner
  • Milton, GA
National Provider Identifier
1679970669
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN199445 Issued in GA
Practice address
380 Sable CT
Milton, GA 30004-8012
Phone
(678) 230-5130
NPI assigned
Nov 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN199445 GA Primary

Addresses

Primary practice location

380 Sable CT
Milton, GA 30004-8012

Mailing address

380 Sable CT
Milton, GA 30004-8012
Phone (678) 230-5130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20150608002369 GA Order and Referring Only - Nurse Practitioner 9830410422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN199445GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ved Rehab LLC Past Accepting new patients
Omni Virtual Health Care Inc PastSince Jun 6, 2021 Accepting new patients
Vertex Cardio Solutions LLC Past Accepting new patients
Georgia Woundcare MD LLC PastSince Oct 1, 2024 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1679970669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 SABLE CT",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300048012",
            "telephone_number": "678-230-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 SABLE CT",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300048012",
            "telephone_number": "678-230-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "CAROLINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN199445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, GA

Sources for this page

Verify at the official NPI Registry.