Organization Active NPI

Alan M Sanders MD

  • Family Medicine Physician
  • Blairsville, GA
National Provider Identifier
1790966059
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALAN M SANDERS MD
Practice address
401 Pat Haralson Drive
Unit 2
Blairsville, GA 30512-3101
Phone
(706) 781-1966
NPI assigned
Nov 15, 2007
Last updated
Nov 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Authorized official

Name
Elizabeth A Maddox
Title
Billing
Phone
(706) 745-8790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

401 Pat Haralson Drive
Unit 2
Blairsville, GA 30512-3101

Mailing address

401 Pat Haralson Drive
Unit 2
Blairsville, GA 30512-3101
Phone (706) 781-1966

Other practice location 1

194 Hospital Rd
Blairsville, GA 30512-3139
Phone (706) 781-1966 ext. 5

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080212000681 GA Part B Supplier - Clinic/Group Practice 2668555723 Receives reassigned benefits from 1 practitioner
Practice locations: Blairsville, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0934726Alan M Sanders MD PC401 Pat Haralson Drive, Unit 2, Blairsville, GA 30512Provider-performed microscopyMar 18, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1790966059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 PAT HARALSON DRIVE",
            "address_2": "UNIT 2",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123101",
            "telephone_number": "706-781-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PAT HARALSON DRIVE",
            "address_2": "UNIT 2",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123101",
            "telephone_number": "706-781-1966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "194 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Blairsville",
            "state": "GA",
            "postal_code": "305123139",
            "country_code": "US",
            "telephone_number": "706-781-1966 x5",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALAN M SANDERS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "MADDOX",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "706-745-8790"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.