Amy Askew Sanderson, FNPBC
Individual provider Active NPI Family Nurse Practitioner · Colquitt, GA
NPI 1790108736 · NPPES record last updated Oct 8, 2018
Key facts
- NPI
- 1790108736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN174948 (GA)
- Practice address
- 209 N Cuthbert St
Colquitt, GA 39837 - Phone
- (229) 758-4265
- Fax
- (229) 758-8473
- NPI assigned
- Jan 28, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 25
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in GA, FL, AL, MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140529001307 | GA | Practitioner - Nurse Practitioner | 3870716459 | Reassigns benefits to 4 organizations |
| I20150812009091 | FL | Practitioner - Nurse Practitioner | 3870716459 | Reassigns benefits to 4 organizations |
| I20200723000040 | AL | Practitioner - Nurse Practitioner | 3870716459 | Reassigns benefits to 5 organizations |
| I20210813003163 | MT | Practitioner - Nurse Practitioner | 3870716459 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4333 | AL | MD | Occupational Therapy Assistant |
| RN174948 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Russell Hospital Corporation | Current |
Accepting new patients | |
| Russell Hospital Corporation | Current |
Accepting new patients | |
| Panhandle Emergency Physicians a Div of Sacred Heart Hosp Pensacola | Current |
Accepting new patients | |
| Revitalize Alabama L.L.C | Current |
Accepting new patients | |
| Paragon Emergency Services LLC | Current |
Accepting new patients | |
| Heritage Physician Services, LLC | Current |
Accepting new patients | |
| South Georgia ER Services, LLC | Current |
Accepting new patients | |
| Stopwatch Urgent Care Centers LLC | Current |
Accepting new patients | |
| Wheatland Memorial Healthcare | Current |
Accepting new patients | |
| Wheatland Memorial Healthcare | Current |
Accepting new patients | |
| Houston County Emergency Group, LLC | Current |
Accepting new patients | |
| Nes Tennessee Inc | Current |
Accepting new patients | |
| Emergency Group of Columbus, LLC | Current |
Accepting new patients | |
| Nes Tennessee Inc | Family | Current | Accepting new patients |
| Nes Tennessee Inc | Current |
Accepting new patients | |
| The East Alabama Health Care Authority | Current |
Accepting new patients | |
| FL-I Medical Services, PA | Current |
Accepting new patients | |
| Pensacola Emergency Physicians, LLC | Current |
Accepting new patients | |
| Trubalance Wellness Inc | Family | Current | Accepting new patients |
| The East Alabama Health Care Authority | Current |
Accepting new patients | |
| FL-I Medical Services, LLC | Current | Accepting new patients | |
| Houston County Emergency Group, LLC | Current |
Accepting new patients | |
| FL-I Medical Services LLC | Current |
Accepting new patients | |
| Pensacola Emergency Physicians, LLC | Current | Accepting new patients | |
| Blue Wave Emergency Physicians LLC | Past | Accepting new patients |
Locations
3504 Highway 280
Alexander City, AL 35010
Phone (256) 329-7887
3316 Highway 280
Alexander City, AL 35010
Phone (256) 329-7100
3368 Highway 280
Ste 209
Alexander City, AL 35010
Phone (254) 215-7474
2298 E University Dr
Ste A202
Auburn, AL 36830
Phone (334) 209-0655
2415 Moores Mill Rd
Unit 230
Auburn, AL 36830
Phone (334) 502-1117
900 Camp Auburn Rd
Auburn, AL 36832
Phone (334) 364-3000
1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000
2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300
315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000
996 Airport Rd
Destin, FL 32541
Phone (615) 338-1250
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603
449 W 23rd St
Panama City, FL 32405
Phone (850) 747-7900
8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212
123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011
5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700
163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847
100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
340 Eisenhower Dr
Ste 1305
Savannah, GA 31406
Phone (912) 304-5772
1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155
7300 State Highway 121
Ste 370374
McKinney, TX 75070
Interoperability endpoints
- amy.sanderson@987548824371204.direct.elationemr.com
- amy.sanderson.1@19249.direct.athenahealth.com
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- https://api.platform.athenahealth.com/25105/brand/1/csg/1/fhir/r4
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.181001
- https://fhir-myrecord.cerner.com/r4/c5013bf3-ebba-4bda-8574-ed83da9e1633/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | RN174948 | GA | |
| Family Nurse Practitioner | 363LF0000X | 4333 | AL | |
| Family Nurse Practitioner | 363LF0000X | RN174948 | GA | Yes |
Addresses
Primary practice location
209 N Cuthbert St
Colquitt, GA 39837
Mailing address
PO Box 7
Colquitt, GA 39837-0007
Phone (229) 400-0363
Other practice location 1
3260 Mill Creek Rd Apt 201
Auburn, AL 36832-7806
Phone (334) 750-3036
Other providers in Colquitt, GA
- Pedernales Dialysis LLC
- Stephanie Davis Phillips
- Ansley Poague
- Roy Richard Reardon
- Rxdirect
- Rebecca Ellen Saunders
- Tamara G Spann
- Lisa Ann Swofford
- William Swofford
- Mary Elizabeth Sykes
All providers in Colquitt, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.