Active NPI
Sandersville Primary & Urgent Care, LLC
- Primary Care Clinic/Center
- Sandersville, GA
National Provider Identifier
1760372205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- SANDERSVILLE PRIMARY & URGENT CARE, LLC
- Practice address
- 510 Sparta Rd
Sandersville, GA 31082-1859 - Phone
- (478) 707-1770
- Fax
- (906) 257-6591
- NPI assigned
- Jul 7, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Roberson, NP
- Title
- Nurse Practitioner
- Phone
- (478) 707-1770
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary | ||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
510 Sparta Rd
Sandersville, GA 31082-1859
Mailing address
510 Sparta Rd
Sandersville, GA 31082-1859
Phone (478) 707-1770
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Sandersville, GA
- NPI 1932693603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751846400000",
"number": "1760372205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 SPARTA RD",
"city": "SANDERSVILLE",
"state": "GA",
"postal_code": "310821859",
"telephone_number": "478-707-1770",
"fax_number": "906-257-6591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 SPARTA RD",
"city": "SANDERSVILLE",
"state": "GA",
"postal_code": "310821859",
"telephone_number": "478-707-1770",
"fax_number": "906-257-6591"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANDERSVILLE PRIMARY & URGENT CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-07",
"last_updated": "2025-07-07",
"certification_date": "2025-07-07",
"status": "A",
"authorized_official_last_name": "ROBERSON",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "478-707-1770",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandersville, GA
- Cynthia J. Roche, R.P.T.
- Sandersville Dialysis Clinic LLC
- Sandersville Drug Co., LLC (Sandersville Drug Co.)
- Sandersville Drug Co., LLC
- Sandersville Hypertension & Nephrology PC
- Sandersville Speech and Swallowing LLC
- Sandersville Surgical (Rawl Southern Surgical LLC)
- Robert Hugh Sasser Jr., DDS
- SBF LLC
- Ramona Sheppard
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.