Individual provider Active NPI

Sandra Lee Zornes, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Americus, GA
National Provider Identifier
1740242999
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
028340 Issued in GA
Practice address
126 Hwy 280
Americus, GA 31719-8645
Phone
(229) 931-1320
NPI assigned
Apr 4, 2006
Last updated
Jan 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 028340 GA Primary

Addresses

Primary practice location

126 Hwy 280
Americus, GA 31719-8645

Mailing address

PO Box 6626
Americus, GA 31709-6626
Phone (229) 439-7170

Other identifiers 4

IdentifierTypeStateIssuer
028340OtherGAGA MEDICAL LICENSE#
000335695AMedicaidGA
22CDBCSOtherMEDICARE GROUP NUMBER
00004562OtherALAL MEDICAL LICENSE#

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
I20061129000137 GA Practitioner - Pathology 3870591894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Alabama School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

126 Hwy 280
Americus, GA 31719-8645

126 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 439-7170

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Pathology and Laboratory Services, PC Anatomic Pathology & Clinical Pathology CurrentSince Jan 6, 2009 Accepting new patients

Locations

100 Wheatley Dr
Americus, GA 31709
Phone (229) 924-6011

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

5700 Southwyck Blvd
Toledo, OH 43614

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Phoebe Sumter Medical CenterAmericus, GA, CCN 110044 Hospital Corporate Officer Jan 31, 2020
Phoebe Sumter HospiceAmericus, GA, CCN 111537 Hospice Corporate Officer Mar 1, 2022
Phoebe Sumter Ellaville ClinicEllaville, GA, CCN 113403 Rural health clinic Corporate Officer Mar 1, 2022

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1740242999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6626",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317096626",
            "telephone_number": "229-439-7170",
            "fax_number": "229-431-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 HWY 280",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317198645",
            "telephone_number": "229-931-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZORNES",
        "first_name": "SANDRA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "028340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA MEDICAL LICENSE#",
            "identifier": "028340",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000335695A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "22CDBCS",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL MEDICAL LICENSE#",
            "identifier": "00004562",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Americus, GA

Sources for this page

Verify at the official NPI Registry.