Individual provider Active NPI

Paola Andrea Sanchez Garay, M.D.

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1790215895
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125070450 Issued in IL
Practice address
1841 Clifton Rd NE
Atlanta, GA 30329-4021
Phone
(404) 728-6906
NPI assigned
Jun 13, 2017
Last updated
Jun 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 125070450 IL Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X NA GA

Addresses

Primary practice location

1841 Clifton Rd NE
Atlanta, GA 30329-4021

Mailing address

3722 Harlem Ave Ste LL34
Riverside, IL 60546-2320
Phone (703) 783-6566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20210929001116 CO Practitioner - Internal Medicine 2769756840 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Valley Regional Medical CenterGroup PAC ID 9436062833, shared by 3 NPIs, 13 clinicians

Practice addresses (Care Compare)

1100 Carson Ave
Suite 201
La Junta, CO 81050-2748
Phone (719) 383-5906

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12599GAMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Valley Regional Medical Center CurrentSince Aug 1, 2021 Accepting new patients
Arkansas Valley Regional Medical Center CurrentSince May 1, 2025 Accepting new patients

Locations

1100 Carson Ave
La Junta, CO 81050
Phone (719) 383-6000

1100 Carson Ave
Ste 201
La Junta, CO 81050
Phone (719) 383-5900

1100 Carson Ave
Ste 203
La Junta, CO 81050
Phone (719) 383-6425

Organizations & group practices 2

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": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1790215895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 HARLEM AVE STE LL34",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605462320",
            "telephone_number": "703-783-6566",
            "fax_number": "708-783-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 CLIFTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303294021",
            "telephone_number": "404-728-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ GARAY",
        "first_name": "PAOLA",
        "middle_name": "ANDREA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125070450",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "GA",
            "license": "NA",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.