Individual provider Active NPI

James Thomas Sandwich, M.D.

  • Dermatology Physician
  • Fayetteville, GA
National Provider Identifier
1699779199
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036609 Issued in GA
Practice address
450 Lanier Ave W
Fayetteville, GA 30214-1502
Phone
(770) 460-8988
Fax
(770) 460-0727
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James T Sandwich MD PC 6 clinicians

Practice addresses (Care Compare)

16125 Barnesville St
Zebulon, GA 30295-4224
Phone (770) 460-8988

450 Lanier Ave W
Fayetteville, GA 30214-1502
Phone (770) 460-8988

450 Lanier W Ave
Fayetteville, GA 30214-1502

731 S 8TH St
Griffin, GA 30224-4818
Phone (770) 460-8988

Merit-based Incentive Payment System (MIPS)

Final score
82.62 of 100Reported as group
Quality
91.75
Promoting interoperability
69
Improvement activities
40
Cost
76.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision120
Removal of tissue1-10
Removal of skin lesions3641
Removal of skin cancer463
Removal or shaving of skin growth49
Skin biopsy1145

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051220000300 GA Practitioner - Internal Medicine 1052302445 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036609GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
James T. Sandwich, M.D., P.C. Specialist CurrentSince Mar 12, 1997 Accepting new patients
Laboratory Corporation of America Holdings Past Accepting new patients
Internal Medicine of Griffin Specialist Past Accepting new patients

Locations

450 Lanier Ave W
Fayetteville, GA 30214
Phone (770) 460-8988

731 S 8th St
Griffin, GA 30224
Phone (770) 227-1717

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036609 GA
Dermatology Physician 207N00000X 036609 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

450 Lanier Ave W
Fayetteville, GA 30214-1502

Mailing address

450 Lanier Ave W
Fayetteville, GA 30214-1502
Phone (770) 460-8988

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 27, 2025.

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1699779199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 LANIER AVE W",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141502",
            "telephone_number": "770-460-8988",
            "fax_number": "770-460-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 LANIER AVE W",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141502",
            "telephone_number": "770-460-8988",
            "fax_number": "770-460-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDWICH",
        "first_name": "JAMES",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "036609",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "036609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.