Individual provider Active NPI

Shalonda Jonta Sanders, NP

  • Family Nurse Practitioner
  • Bainbridge, GA
National Provider Identifier
1922984798
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN193546 Issued in GA
Practice address
1500 E Shotwell St
Bainbridge, GA 39819-4294
Phone
(229) 246-3500
NPI assigned
Aug 15, 2025
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN193546 GA Primary

Addresses

Primary practice location

1500 E Shotwell St
Bainbridge, GA 39819-4294

Mailing address

150 Hillcrest Dr
Bainbridge, GA 39817-8368
Phone (229) 254-7720

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251104001361 GA Practitioner - Nurse Practitioner 6507356003 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complexcare Medical Group Midwest M PLLCGroup PAC ID 1355858630, 87 clinicians
Southland Bainbridge Hospitalist Group, LLCGroup PAC ID 7214248335, 54 clinicians

Practice addresses (Care Compare)

1155 W College St
Bainbridge, GA 39819-6400
Phone (248) 660-1220

1500 E Shotwell St
Bainbridge, GA 39819-4256
Phone (229) 236-0831

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN193546GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Consolidated Emergency Services, LLC Multi-Specialty CurrentSince Sep 15, 2025 Accepting new patients
Southland Bainbridge Hospitalist Group, LLC Multi-Specialty CurrentSince Sep 15, 2025 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Multi-Specialty Past Accepting new patients

Locations

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527

Organizations & group practices 4

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

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": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1922984798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HILLCREST DR",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398178368",
            "telephone_number": "229-254-7720",
            "fax_number": "229-254-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E SHOTWELL ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194294",
            "telephone_number": "229-246-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "SHALONDA",
        "middle_name": "JONTA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-15",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN193546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge, GA

Sources for this page

Verify at the official NPI Registry.