Active NPI
Georgianna Amelia Sandilos, MD
- Colon & Rectal Surgery Physician
- Camden, NJ
National Provider Identifier
1851950745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 113456
- Practice address
- 3 Cooper PLZ RM 411
Camden, NJ 08103-1438 - Phone
- (267) 432-1178
- NPI assigned
- Jun 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 113456 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Colon & Rectal Surgery Physician | 208C00000X | 113456 | GA | Primary |
Addresses
Primary practice location
3 Cooper PLZ RM 411
Camden, NJ 08103-1438
Mailing address
924 Pine St Apt 2R
Philadelphia, PA 19107-6101
Phone (267) 432-1178
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250327000456 | NJ | Order and Referring Only - Colorectal Surgery (Proctology) | 3274056536 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1851950745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "924 PINE ST APT 2R",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191076101",
"telephone_number": "267-432-1178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 COOPER PLZ RM 411",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031438",
"telephone_number": "267-432-1178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDILOS",
"first_name": "GEORGIANNA",
"middle_name": "AMELIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-13",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "113456",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "GA",
"license": "113456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.