Alan M Sanders MD
Organization Active NPI Family Medicine Physician · Blairsville, GA
NPI 1790966059 · NPPES record last updated Nov 2, 2022
Key facts
- NPI
- 1790966059
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 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
- Organization subpart
- No
Authorized official
- Name
- Elizabeth A Maddox
- Title
- Billing
- Phone
- (706) 745-8790
Practitioners 2
-
Alan M Sanders, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0934726 | Alan M Sanders MD PC | Provider-performed microscopy | Mar 18, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080212000681 | GA | Part B Supplier - Clinic/Group Practice | 2668555723 |
Receives reassigned benefits from 1 practitioner Practice locations: Blairsville, GA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
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
Other providers in Blairsville, GA
- Aegis Group Practice LLC
- Affordable Hearing Aid Solutions, Inc
- Catherine Agacinski
- Scott Wells Ainsworth
- Debbie Elaine Akins
- Travis Patrick Albright
- Joyce Anne Allen
- Patricia Jane Allen
- Lisa Allison
- Amedisys Georgia LLC
All providers in Blairsville, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2022. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.