Individual provider Active NPI

Sandra Y Goldring, MD

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1922411636
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
83556 Issued in GA
Practice address
3886 Princeton Lakes Way SW Ste 120
Atlanta, GA 30331-5511
Phone
(404) 530-3070
NPI assigned
Jun 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301113271 MI
Student in an Organized Health Care Education/Training Program 390200000X MT207016 PA
Family Medicine Physician 207Q00000X 83556 GA Primary

Addresses

Primary practice location

3886 Princeton Lakes Way SW Ste 120
Atlanta, GA 30331-5511

Mailing address

3886 Princeton Lakes Way SW Ste 120
Atlanta, GA 30331-5511
Phone (404) 530-3070

Other practice location 1

100 Delafield Rd
Pittsburgh, PA 15215-3247
Phone (412) 622-7343

Other practice location 2

100 Delafield Rd
Pittsburgh, PA 15215-3247
Phone (412) 622-7343

Other practice location 3

505 N Jackson St
Jackson, MI 49201-1266
Phone (517) 748-5500

Other identifiers 1

IdentifierTypeStateIssuer
1922411636MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sgoldring344723@directwellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190806003966 GA Practitioner - Family Practice 0042500548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pittsburgh School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1863 Memorial Dr SE
Atlanta, GA 30317-2103
Phone (404) 616-9304

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital Corporation Family Medicine CurrentSince Oct 1, 2022 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Oct 1, 2022 Accepting new patients
Grady Memorial Hospital Corporation Past Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

1863 Memorial Dr SE
Atlanta, GA 30317
Phone (404) 616-8880

Interoperability endpoints

  • Direct secure messaging: sgoldring468698@direct.hfhs.org

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1922411636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3886 PRINCETON LAKES WAY SW STE 120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315511",
            "telephone_number": "404-530-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3886 PRINCETON LAKES WAY SW STE 120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315511",
            "telephone_number": "404-530-3070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Delafield Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152153247",
            "country_code": "US",
            "telephone_number": "412-622-7343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Delafield Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152153247",
            "country_code": "US",
            "telephone_number": "412-622-7343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 N Jackson St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492011266",
            "country_code": "US",
            "telephone_number": "517-748-5500",
            "fax_number": "517-780-9286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDRING",
        "first_name": "SANDRA",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301113271",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT207016",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "83556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922411636",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgoldring344723@directwellstar.org",
            "affiliation": "N",
            "address_1": "3886 Princeton Lakes Way SW Ste 120",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303315511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.