Sandra J. Valenciano, MD, MPH

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

77802 Issued in GA

Practice address

445 Winn Way Ste 527
Decatur, GA 30030-1707

Phone

(404) 294-3700

NPI assigned

May 19, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Dekalb County Board of Health

  • Public Health or Welfare Agency
  • Decatur, GA
  • NPI 1992801021
  NPD (past)
• Seattle King Co Dept of Public Health

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1780876284
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599436800000",
    "number": "1740691120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 TUXWORTH CIR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335630",
            "telephone_number": "786-797-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 WINN WAY STE 527",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301707",
            "telephone_number": "404-294-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENCIANO",
        "first_name": "SANDRA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "77802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• VA Medical Center
• VA Medical Center
• Prathyusha Vadlamani, DDS
• Rima Nitinchandra Vaidya, FNP
• Luis Felipe Valdes, PH.D.
• Valentine Pediatric Group, LLC
• Samantha Wisner Valentini, RN
• Elizabeth Natalie Valera, LPC
• Samantha Maria Valeriano
• Sherena R Valico, RN

• Internal Medicine Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.