Individual provider Active NPI

Douglas Willis Sanders, MD

  • Surgery Physician
  • Newnan, GA
National Provider Identifier
1700846789
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
110068 Issued in GA
Practice address
354 Newnan Crossing Byp Ste 210
Newnan, GA 30265-2323
Phone
(800) 991-6117
Fax
(888) 812-8191
NPI assigned
Mar 24, 2006
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 110068 GA Primary
Surgery Physician 208600000X ME00068562 FL
Phlebology Physician 202K00000X 110068 GA

Addresses

Primary practice location

354 Newnan Crossing Byp Ste 210
Newnan, GA 30265-2323

Mailing address

3820 Northdale Blvd Ste 201
Tampa, FL 33624-1893
Phone (800) 991-6117

Other practice location 1

4619 Little Rd
New Port Richey, FL 34655-1329
Phone (800) 991-6117

Other practice location 2

3435 S Highlands Ave
Sebring, FL 33870-5408
Phone (863) 385-8777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 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
I20040724000005 FL Practitioner - General Surgery 5799765285 Reassigns benefits to 2 organizations
I20260326000974 GA Practitioner - General Surgery 5799765285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Florida College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Uvc Medical LLCGroup PAC ID 4284081811, 9 clinicians

Practice addresses (Care Compare)

2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990

3300 E Halifax Crossing Blvd
Deltona, FL 32725-2911
Phone (386) 425-4000

3400 E Halifax Crossing Blvd
Suite 200
Deltona, FL 32725-2914
Phone (386) 241-1100

371 E Paces Ferry Rd NE
Suite 630
Atlanta, GA 30305-2372
Phone (800) 991-6117

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME00068562FLMDSurgery Physician
110068GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc Surgery CurrentSince Feb 1, 2020 Accepting new patients
Wazni, PLLC Surgery CurrentSince Jan 5, 2026 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Feb 1, 2020 Accepting new patients
Georgia Uvc Medical LLC Phlebology CurrentSince Aug 27, 2025 Accepting new patients
Treasure Coast Surgical Group Past Accepting new patients
Obl Uvc Medical PLLC PastSince Nov 7, 2025 Accepting new patients
Georgia Medical United LLC PastSince Sep 8, 2025 Accepting new patients
Water's Edge Dermatology, LLC PastSince Sep 8, 2019 Accepting new patients

Locations

1900 Glades Rd
Ste 100
Boca Raton, FL 33431
Phone (561) 416-1145

18167 US Highway 19 N
Ste 100
Clearwater, FL 33764
Phone (727) 233-4177

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

1600 SW Archer Rd
#100371
Gainesville, FL 32610
Phone (352) 265-8335

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

2290 10th Ave N
Ste 101
Lake Worth, FL 33461
Phone (561) 450-2703

3003 S Florida Ave
Ste 101
Lakeland, FL 33803
Phone (863) 687-8990

4619 Little Rd
New Pt Richey, FL 34655
Phone (727) 372-9918

4215 Burns Rd
Ste 260
Palm Beach Gardens, FL 33410

295 NW Peacock Blvd
Port St Lucie, FL 34986

3609 Madaca Ln
Tampa, FL 33618
Phone (720) 253-3071

3657 Madaca Ln
Tampa, FL 33618

3810 Northdale Blvd
Ste 260
Tampa, FL 33624

3820 Northdale Blvd
Ste 201
Tampa, FL 33624

8029 Cooper Creek Blvd
Ste 104
University Park, FL 34201

16553 S US Highway 301
Wimauma, FL 33598

371 E Paces Ferry Rd NE
Ste 630
Atlanta, GA 30305

99 Krog St NE
Ste 301
Atlanta, GA 30307

6880 Douglas Blvd
Ste E
Douglasville, GA 30135

3805 Crestwood Pkwy NW
Ste 350
Duluth, GA 30096

3525 Busbee Dr NW
Ste 101
Kennesaw, GA 30144

354 Newnan Crossing Byp
Ste 210
Newnan, GA 30265

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: dsanders451854@direct.shands.ufl.edu

Organizations & group practices 8

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 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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1700846789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 NORTHDALE BLVD STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241893",
            "telephone_number": "800-991-6117",
            "fax_number": "888-812-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 NEWNAN CROSSING BYP STE 210",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652323",
            "telephone_number": "800-991-6117",
            "fax_number": "888-812-8191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4619 Little Rd",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346551329",
            "country_code": "US",
            "telephone_number": "800-991-6117",
            "fax_number": "888-812-8191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3435 S Highlands Ave",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338705408",
            "country_code": "US",
            "telephone_number": "863-385-8777",
            "fax_number": "863-385-6585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "DOUGLAS",
        "middle_name": "WILLIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "110068",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME00068562",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "GA",
            "license": "110068",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.