Active NPI
Douglas Willis Sanders, MD
- Surgery Physician
- Newnan, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 110068
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
- Quality
- 38.49
- Promoting interoperability
- 0
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME00068562 | FL | MD | Surgery Physician |
| 110068 | GA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Clinical Practice Association Inc | Surgery | Current | Accepting new patients |
| Wazni, PLLC | Surgery | Current | Accepting new patients |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Georgia Uvc Medical LLC | Phlebology | Current | Accepting new patients |
| Treasure Coast Surgical Group | Past | Accepting new patients | |
| Obl Uvc Medical PLLC | Past | Accepting new patients | |
| Georgia Medical United LLC | Past | Accepting new patients | |
| Water's Edge Dermatology, LLC | Past | 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
- 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.
-
dba United Vein & Vascular Centers
- Vascular Surgery Physician
- Atlanta, GA
- NPI 1619681244
Phlebology
-
dba UF Health Physicians
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
-
dba UF Health Family Medicine Ocala Heath Brook
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
-
- Vascular Surgery Physician
- Atlanta, GA
- NPI 1871473801
-
- Clinical Medical Laboratory
- University Park, FL
- NPI 1083581797
-
- Specialist
- Stuart, FL
- NPI 1053366674
-
- Clinical Medical Laboratory
- Palm Beach Gardens, FL
- NPI 1871542787
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Halifax Health UF Health - Medical Center of Deltona
- General Acute Care Hospital
- Deltona, FL
- NPI 1003465097
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.