Individual provider Active NPI

Melani P Cornelius-Sanders, M.D.

  • Obstetrics & Gynecology Physician
  • Stockbridge, GA
National Provider Identifier
1730360181
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
64016 Issued in GA
Practice address
115 Eagle Springs Drive
200A
Stockbridge, GA 30281-6486
Phone
(770) 474-0064
Fax
(770) 474-2998
NPI assigned
Nov 14, 2007
Last updated
Mar 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 64016 GA Primary

Addresses

Primary practice location

115 Eagle Springs Drive
200A
Stockbridge, GA 30281-6486

Mailing address

115 Eagle Springs Drive
200A
Stockbridge, GA 30281-6486
Phone (770) 474-0064

Other names 1

  • Dr. Melani P Cornelius-Sanders Other name

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
I20150226001044 GA Practitioner - Obstetrics/Gynecology 3072839620 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Meharry Medical College School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serena D. Tidwell, M.D., P.C.Group PAC ID 9931291226, 16 clinicians

Practice addresses (Care Compare)

115 Eagle Spring Dr
Suite A200
Stockbridge, GA 30281-6486
Phone (770) 474-0064

115 Eagle Springs Dr
Suite 200
Stockbridge, GA 30281-6486
Phone (770) 474-0064

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64016GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Serena D. Tidwell, M.D., P.C. CurrentSince Nov 1, 2025 Accepting new patients
Southern Crescent Womens Health Specialists at Eagle's Landing CurrentSince Dec 20, 2014 Accepting new patients
Rrsoc LLC PastSince Dec 6, 2022 Accepting new patients
Women's Health Specialists 2 LLC Obstetrics & Gynecology Past Accepting new patients

Locations

1538 13th Ave
Ste B200
Columbus, GA 31901
Phone (706) 320-2547

1538 13th Ave
Ste C200
Columbus, GA 31901
Phone (706) 320-2547

5040 Bill Gardner Pkwy
Ste 200
Locust Grove, GA 30248
Phone (770) 474-0064

115 Eagle Spring Dr
Ste 200
Stockbridge, GA 30281
Phone (770) 474-0064

115 Eagle Spring Dr
Ste A200
Stockbridge, GA 30281
Phone 7704740064 ext. 108

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, 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": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1730360181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 EAGLE SPRINGS DRIVE",
            "address_2": "200A",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816486",
            "telephone_number": "770-474-0064",
            "fax_number": "770-474-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 EAGLE SPRINGS DRIVE",
            "address_2": "200A",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816486",
            "telephone_number": "770-474-0064",
            "fax_number": "770-474-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELIUS-SANDERS",
        "first_name": "MELANI",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "64016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANI",
            "last_name": "CORNELIUS-SANDERS",
            "middle_name": "P",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.