Active NPI
Monica Lauren Sanders, D.C.
- Chiropractor
- St. Simons Island, GA
National Provider Identifier
1982902698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIRO08780
- Practice address
- 302 Redfern Village
St. Simons Island, GA 31522-2537 - Phone
- (912) 268-4277
- Fax
- (912) 268-4289
- NPI assigned
- Mar 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIRO08780 | GA | Primary |
Addresses
Primary practice location
302 Redfern Village
St. Simons Island, GA 31522-2537
Mailing address
302 Redfern Village
St. Simons Island, GA 31522-2537
Phone (912) 268-4277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIRO08780 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Chiropractic Palms PC | Chiropractor | Current | Accepting new patients |
| Script Source Pharmacy, LLC | Past | Accepting new patients | |
| Elite Health Innovations LLC | Chiropractor | Past | Accepting new patients |
| South Georgia Chiropractic | Chiropractor | Past | Accepting new patients |
Locations
102 Redfern Vlg
St Simons Island, GA 31522
Phone (912) 268-4277
302 Redfern Vlg
St Simons Island, GA 31522
Phone (912) 268-4277
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 and National Provider Directory roles.
-
- Chiropractor
- St Simons Island, GA
- NPI 1699035964
-
- Chiropractor
- Saint Simons Island, GA
- NPI 1134925357
-
- Chiropractor
- Baxley, GA
- NPI 1275932493
-
- Community/Retail Pharmacy
- Pearland, TX
- NPI 1992930234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335312000000",
"number": "1982902698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 REDFERN VILLAGE",
"city": "ST. SIMONS ISLAND",
"state": "GA",
"postal_code": "315222537",
"telephone_number": "912-268-4277",
"fax_number": "912-268-4289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 REDFERN VILLAGE",
"city": "ST. SIMONS ISLAND",
"state": "GA",
"postal_code": "315222537",
"telephone_number": "912-268-4277",
"fax_number": "912-268-4289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "MONICA",
"middle_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-03",
"last_updated": "2012-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIRO08780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St. Simons Island, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.