Organization Active NPI

Sandbar Health Inc

Doing business as KidMed

  • Pediatrics Physician
  • Brunswick, GA
National Provider Identifier
1861235251
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SANDBAR HEALTH INC
Doing business as
KidMed
Practice address
617 Palisade Dr
Brunswick, GA 31523-8211
Phone
(912) 694-1094
Fax
(912) 694-1095
NPI assigned
Jun 14, 2024
Last updated
Oct 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Authorized official

Name
Benjamin Thomas Sandifer, MDNPI 1609432699
Title
Ceo
Phone
(912) 694-1094

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X NU
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

617 Palisade Dr
Brunswick, GA 31523-8211

Mailing address

617 Palisade Dr
Brunswick, GA 31523-8211
Phone (912) 694-1094

Other names 1

  • KidMed Doing business as

National Provider Directory

National Provider Directory

Locations

617 Palisade Dr
Brunswick, GA 31523
Phone (912) 694-1094

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGDIDD

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": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1861235251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 PALISADE DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315238211",
            "telephone_number": "912-694-1094",
            "fax_number": "912-694-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 PALISADE DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315238211",
            "telephone_number": "912-694-1094",
            "fax_number": "912-694-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDBAR HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "SANDIFER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-694-1094",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KidMed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.