Active NPI
Sandbar Health Inc
Doing business as KidMed
- Pediatrics Physician
- Brunswick, GA
National Provider Identifier
1861235251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin Thomas Sandifer, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
617 Palisade Dr
Brunswick, GA 31523
Phone (912) 694-1094
Interoperability endpoints
- 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.
-
- Pediatrics Physician
- Brunswick, GA
- NPI 1609432699
-
- Family Nurse Practitioner
- Brunswick, GA
- NPI 1568266005
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.