Individual provider Active NPI

Sandra Jean Carmichael, MD

  • Emergency Medicine Physician
  • Fort Oglethorpe, GA
National Provider Identifier
1770514259
Registry record updated Aug 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036116 Issued in GA
Practice address
100 Gross Crescent Cir
Fort Oglethorpe, GA 30742-3643
Phone
(706) 858-2000
Fax
(865) 291-3228
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036116 GA Primary

Addresses

Primary practice location

100 Gross Crescent Cir
Fort Oglethorpe, GA 30742-3643

Mailing address

100 Gross Crescent Cir
Ft Oglethorpe, GA 30742-3643
Phone (706) 858-2161

Other identifiers 2

IdentifierTypeStateIssuer
P00232694OtherGARAILROAD MEDICARE
3144639OtherTNBLUE CROSS BLUE SHE OF TN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL, OR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050801000498 GA Practitioner - Emergency MedicinePractitioner - General Practice 8224066212 Reassigns benefits to 2 organizations
I20081029000545 AL Practitioner - General PracticePractitioner - Emergency Medicine 8224066212 Reassigns benefits to 3 organizations
I20240321001169 OR Practitioner - Emergency Medicine 8224066212 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036116GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Erx Group, LLC Emergency Medicine CurrentSince Nov 1, 2025 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Feb 12, 2024 Accepting new patients
Ess of Luverne LLC Emergency Medicine CurrentSince Apr 6, 2024 Accepting new patients
American Family Care, LLC CurrentSince Mar 5, 2017 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Feb 12, 2024 Accepting new patients
Northwest Alabama Emergency Medicine LLC Emergency Medicine CurrentSince Jul 27, 2018 Accepting new patients
American Family Care, LLC CurrentSince Mar 5, 2017 Accepting new patients
Southeast Medical Group, P.C. CurrentSince Nov 22, 2023 Accepting new patients
American Family Care, LLC Current Accepting new patients
Crisp Regional Hospital Inc CurrentSince Feb 27, 2025 Accepting new patients
Northwest Medical Foundation of Tillamook Current Accepting new patients
Crisp Regional Hospital, Inc CurrentSince Feb 27, 2025 Accepting new patients
Willstown Emergency Physicians Emergency Medicine Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Lefleur Emergency Physicians Emergency Medicine Past Accepting new patients
Rosebud Indian Health Service Past Accepting new patients
Emergency Coverage, LLC Emergency Medicine Past Accepting new patients
Hargrave Emergency Physicians LLC Emergency Medicine PastSince Jul 16, 2012 Accepting new patients

Locations

1200 W Maple Ave
Geneva, AL 36340
Phone (334) 684-3655

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

101 Hospital Dr
Luverne, AL 36049
Phone (334) 335-3374

7559 Highway 72 W
Madison, AL 35758
Phone (256) 414-0488

201 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-1600

302 S Wayne St
Alma, GA 31510
Phone (912) 632-8961

902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100

200 Perry House Rd
Fitzgerald, GA 31750
Phone (229) 424-1461

117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725

1100 3rd St
Tillamook, OR 97141
Phone (503) 815-2116

1000 3rd St
#M
Tillamook, OR 97141
Phone (503) 815-2260

1000 3rd St
Tillamook, OR 97141
Phone (503) 251-6129

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785628800000",
    "number": "1770514259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GROSS CRESCENT CIR",
            "city": "FT OGLETHORPE",
            "state": "GA",
            "postal_code": "307423643",
            "telephone_number": "706-858-2161",
            "fax_number": "706-858-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GROSS CRESCENT CIR",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307423643",
            "telephone_number": "706-858-2000",
            "fax_number": "865-291-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMICHAEL",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2026-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "036116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00232694",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHE OF TN",
            "identifier": "3144639",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Oglethorpe, GA

Sources for this page

Verify at the official NPI Registry.