Individual provider Active NPI

Cynthia Denise Sadler, MD

  • General Practice Physician
  • Kennesaw, GA
National Provider Identifier
1902980733
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
030874 Issued in GA
Practice address
445 Laurian Way NW
Kennesaw, GA 30144-5165
Phone
(202) 425-3150
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 030874 GA
Contractor 171W00000X GA030874 GA
General Practice Physician 208D00000X 030874 GA Primary

Addresses

Primary practice location

445 Laurian Way NW
Kennesaw, GA 30144-5165

Mailing address

1720 Powers Ferry Rd SE
Marietta, GA 30067-5442
Phone (202) 425-3150

Other names 1

  • Dr. Cynthia Denise Sadler Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
GA030874GAMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
CFS Health Management Current Accepting new patients
Metropolitan Health Care Plus Inc Past Accepting new patients
Atlanta Medical Clinic L L C PastSince Dec 1, 2012 Accepting new patients

Locations

413 Pottery Factory Dr
Commerce, GA 30529
Phone (706) 423-9449

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1902980733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 POWERS FERRY RD SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675442",
            "telephone_number": "202-425-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 LAURIAN WAY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445165",
            "telephone_number": "202-425-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADLER",
        "first_name": "CYNTHIA",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "030874",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "GA",
            "license": "GA030874",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "030874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "SADLER",
            "middle_name": "DENISE",
            "prefix": "DR.",
            "credential": "MD, MPH, JD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.