Active NPI
Nelson Sanchez, MD
- Student in an Organized Health Care Education/Training Program
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 719 Thompson LN Ste 26300
Nashville, TN 37204-4679 - Phone
- (615) 322-6485
- NPI assigned
- Mar 27, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 098132 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
719 Thompson LN Ste 26300
Nashville, TN 37204-4679
Mailing address
111 Marble Mill Rd NW
Marietta, GA 30060-1047
Phone (770) 422-1013
Other practice location 1
111 Marble Mill Rd NW
Marietta, GA 30060-1047
Phone (770) 422-1013 ext. 1055
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Miami, LM Miller School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Marble Mill Rd NW
Marietta, GA 30060-1047
Phone (770) 422-1013
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 47 |
| Removal of skin lesions | 1470 |
| Removal or shaving of skin growth | 49 |
| Skin biopsy | 608 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 098132 | GA | MD | Dermatology Physician |
| 11834 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marietta Dermatology Associates PA | Dermatology | Current | Accepting new patients |
Locations
130 Oakside Ct
Ste A
Canton, GA 30114
Phone (770) 422-1013
111 Marble Mill Rd NW
Marietta, GA 30060
Phone (770) 422-1013
840 Church St NE
Ste A1
Marietta, GA 30060
Phone (770) 428-5988
5041 Dallas Hwy
Ste D
Powder Springs, GA 30127
Phone (770) 422-1013
5041 Dallas Hwy
Ste 209
Powder Springs, GA 30127
Interoperability endpoints
- nsanchez@mariettaderm.emadirect.md
Organizations & group practices 1
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.
-
- Dermatology Physician
- Marietta, GA
- NPI 1417007212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1992333934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 MARBLE MILL RD NW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601047",
"telephone_number": "770-422-1013",
"fax_number": "770-514-5996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 THOMPSON LN STE 26300",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372044679",
"telephone_number": "615-322-6485"
}
],
"practiceLocations": [
{
"address_1": "111 Marble Mill Rd NW",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300601047",
"country_code": "US",
"telephone_number": "770-422-1013 x1055",
"fax_number": "770-514-5996",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANCHEZ",
"first_name": "NELSON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-27",
"last_updated": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "GA",
"license": "098132",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.