Active NPI 1376772640 Individual Practitioner Female Practitioner

Dr. Beverly Barksdale Sanders , MD

Internal Medicine • Macon, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Beverly Sanders, MD is a certified Internal Medicine practicing in Macon, GA. With approximately 17 years of clinical experience since graduating from Mercer University School Of Medicine in 2009, Dr. Sanders delivers high-quality medical care to the local community at 1760 BASS RD STE 200B.

Dr. Sanders maintains professional affiliations with Beverly B. Sanders, M.D., L.L.C., Select Rehabilitation, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include chronic care management services, first, established patient outpatient office visit, urinalysis, manual test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1760 Bass Rd Ste 200b

Macon, GA 312101061

Telephone 4783091294

Fax 8664933182

Associated Practice Facility / Clinic

🏢 Beverly B. Sanders, M.d., L.l.c. Facility NPI 1295169274

Medicare Profile & Education

Medical School

Mercer University School Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Macon, GA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -0.6 yrs vs City Avg

City Avg: 17.6 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

194 Specialists

Practicing in Macon, GA (4065 Statewide)

Telehealth Adoption Rate

7.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sanders (17 Years) 17 Yrs

Macon Specialty Average (17.6 Years) 17.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	541	57	$100.00	$58.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	418	221	$265.91	$118.76
81002 Urinalysis, manual test	195	173	$30.00	$3.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	191	191	$195.00	$119.99
G0444 Annual depression screening, 5 to 15 minutes	111	111	$50.00	$16.96
93000 Routine ekg using at least 12 leads including interpretation and report	65	65	$95.00	$13.23
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	64	58	$30.00	$15.61
77080 Dxa bone density measurement of hip, pelvis, spine	51	51	$275.00	$34.46
90653 Vaccine for influenza for injection into muscle	49	49	$120.00	$81.82
G0008 Administration of influenza virus vaccine	48	48	$50.00	$30.39
99497 Advance care planning, first 30 minutes	33	33	$175.00	$77.29
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	32	11	$62.66	$21.04
83036 Hemoglobin A1C level	31	22	$60.00	$9.52
99213 Established patient office or other outpatient visit, typically 15 minutes	28	27	$176.25	$84.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	21	$392.27	$154.34
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	22	22	$493.18	$287.07
G0009 Administration of pneumococcal vaccine	20	20	$30.00	$29.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	486	68	$100.00	$58.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	422	242	$225.00	$118.57
81002 Urinalysis, manual test	267	226	$30.00	$3.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	215	215	$195.00	$120.47
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	121	40	$80.00	$37.06
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	112	45	$100.00	$44.98
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	90	46	$60.00	$21.12
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	81	41	$100.00	$43.63
93000 Routine ekg using at least 12 leads including interpretation and report	75	75	$95.00	$13.43
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	57	57	$425.00	$267.75
77080 Dxa bone density measurement of hip, pelvis, spine	55	55	$275.00	$32.92
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	47	47	$125.00	$75.81
83036 Hemoglobin A1C level	46	32	$60.00	$9.11
G0008 Administration of influenza virus vaccine	45	45	$50.00	$28.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	38	$300.00	$165.03
G0009 Administration of pneumococcal vaccine	36	36	$30.00	$28.87
99497 Advance care planning, first 30 minutes	32	32	$175.00	$78.37
G0444 Annual depression screening, 5 to 15 minutes	29	29	$50.00	$16.85
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	29	29	$50.00	$24.48
99213 Established patient office or other outpatient visit, typically 15 minutes	27	25	$165.00	$82.38
90471 Administration of 1 vaccine	20	18	$50.00	$18.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	648	59	$80.06	$38.10
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	622	62	$100.00	$46.23
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	590	259	$58.52	$21.23
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	570	57	$100.00	$48.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	421	259	$219.77	$120.12
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	334	36	$100.00	$59.94
81002 Urinalysis, manual test	292	252	$30.00	$3.43
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	233	233	$195.00	$122.54
99213 Established patient office or other outpatient visit, typically 15 minutes	92	77	$159.67	$82.49
93000 Routine ekg using at least 12 leads including interpretation and report	81	79	$95.00	$13.38
83036 Hemoglobin A1C level	65	47	$60.00	$9.59
G0008 Administration of influenza virus vaccine	64	64	$50.00	$27.17
G0444 Annual depression screening, 5 to 15 minutes	62	62	$50.00	$16.79
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	51	51	$50.00	$25.11
77080 Dxa bone density measurement of hip, pelvis, spine	51	51	$275.00	$26.97
90662 Influenza vaccine split virus, preservative free	43	43	$75.00	$68.54
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	36	36	$50.00	$25.08
99497 Advance care planning, first 30 minutes	35	35	$175.00	$80.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	24	$293.75	$171.20
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	21	21	$125.00	$70.25
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	15	$100.00	$49.51
G0009 Administration of pneumococcal vaccine	13	13	$30.00	$27.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$327.50	$159.00
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	12	12	$391.25	$278.12
76705 Limited ultrasound scan of abdomen	12	12	$250.00	$56.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	675	280	$48.00	$21.15
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	433	39	$80.00	$39.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	395	255	$185.00	$123.06
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	311	71	$100.00	$47.84
81002 Urinalysis, manual test	294	250	$30.00	$3.46
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	279	65	$100.00	$56.02
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	234	66	$88.08	$39.17
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	230	230	$195.00	$127.21
G0444 Annual depression screening, 5 to 15 minutes	156	156	$50.00	$17.54
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	118	118	$50.00	$25.86
99213 Established patient office or other outpatient visit, typically 15 minutes	106	84	$130.00	$86.94
93000 Routine ekg using at least 12 leads including interpretation and report	85	82	$95.00	$14.04
83036 Hemoglobin A1C level	76	45	$60.00	$9.71
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	69	69	$49.57	$17.03
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	65	65	$50.00	$25.86
77080 Dxa bone density measurement of hip, pelvis, spine	56	56	$275.00	$26.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	51	50	$225.00	$174.57
G0008 Administration of influenza virus vaccine	50	49	$50.00	$15.74
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	46	46	$125.00	$66.43
99497 Advance care planning, first 30 minutes	45	45	$175.00	$82.83
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	16	16	$45.00	$18.05
G0009 Administration of pneumococcal vaccine	16	16	$30.00	$15.82
99495 Transitional care management services for problem of at least moderate complexity	12	12	$365.00	$196.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$215.00	$161.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	651	281	$48.00	$21.78
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	517	53	$80.00	$40.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	413	274	$185.00	$103.35
81002 Urinalysis, manual test	307	250	$30.00	$3.45
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	249	249	$195.00	$111.92
G0444 Annual depression screening, 5 to 15 minutes	206	206	$50.00	$17.21
99213 Established patient office or other outpatient visit, typically 15 minutes	200	143	$130.00	$70.44
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	186	186	$50.00	$25.96
93000 Routine ekg using at least 12 leads including interpretation and report	97	92	$95.00	$16.31
99497 Advance care planning, first 30 minutes	71	71	$175.00	$84.52
83036 Hemoglobin A1C level	63	45	$60.00	$9.57
77080 Dxa bone density measurement of hip, pelvis, spine	47	47	$275.00	$27.46
G0008 Administration of influenza virus vaccine	41	40	$50.00	$15.86
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	39	39	$47.44	$26.01
90662 Influenza vaccine split virus, preservative free	38	37	$75.00	$59.86
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	26	18	$100.00	$39.07
99495 Transitional care management services for problem of at least moderate complexity	25	23	$365.00	$171.39
G0009 Administration of pneumococcal vaccine	20	20	$30.00	$15.83
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	18	18	$45.00	$18.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$215.00	$151.06
90670 Pneumococcal vaccine for injection into muscle	14	14	$281.79	$209.46
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	11	11	$50.00	$14.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	738	307	$48.00	$21.29
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	599	71	$80.00	$40.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	388	277	$185.00	$103.90
81002 Urinalysis, manual test	310	257	$28.97	$3.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	270	270	$195.00	$111.27
99213 Established patient office or other outpatient visit, typically 15 minutes	236	163	$130.00	$70.32
G0444 Annual depression screening, 5 to 15 minutes	146	146	$50.00	$17.07
93000 Routine ekg using at least 12 leads including interpretation and report	76	74	$95.00	$16.19
77080 Dxa bone density measurement of hip, pelvis, spine	71	71	$275.00	$27.33
99497 Advance care planning, first 30 minutes	69	69	$175.00	$83.04
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	68	68	$50.00	$25.55
83036 Hemoglobin A1C level	52	39	$60.00	$10.57
G0008 Administration of influenza virus vaccine	36	36	$50.00	$15.59
90662 Influenza vaccine split virus, preservative free	32	32	$75.00	$53.17
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	23	13	$100.00	$39.11
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$125.00	$101.22
69210 Removal of impacted ear wax	14	12	$112.00	$45.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$215.00	$147.94
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	12	12	$50.00	$14.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	835	91	$80.00	$40.33
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	736	332	$48.00	$20.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	464	324	$176.53	$102.22
81002 Urinalysis, manual test	356	300	$20.00	$3.40
99213 Established patient office or other outpatient visit, typically 15 minutes	321	197	$130.00	$69.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	307	307	$195.42	$110.85
93000 Routine ekg using at least 12 leads including interpretation and report	114	113	$95.00	$16.05
99497 Advance care planning, first 30 minutes	98	98	$175.00	$81.68
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	86	22	$71.51	$18.92
G0444 Annual depression screening, 5 to 15 minutes	75	75	$50.00	$16.87
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	50	50	$45.00	$19.25
77080 Dxa bone density measurement of hip, pelvis, spine	49	49	$275.00	$28.48
82962 Blood glucose (sugar) test performed by hand-held instrument	45	31	$18.00	$3.21
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	40	22	$100.00	$39.38
G0008 Administration of influenza virus vaccine	39	39	$50.00	$19.06
90662 Influenza vaccine split virus, preservative free	37	37	$75.00	$52.30
G0009 Administration of pneumococcal vaccine	33	33	$30.00	$19.06
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	23	23	$125.00	$93.57
90670 Pneumococcal vaccine for injection into muscle	18	18	$214.17	$197.62
96127 Assessment of emotional or behavioral problems	15	14	$40.00	$5.80
99495 Transitional care management services for problem of at least moderate complexity	15	15	$365.00	$156.19
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	15	12	$50.00	$13.97
80305 Testing for presence of drug, read by direct observation	13	12	$50.00	$13.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$215.00	$158.62
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	12	12	$50.00	$24.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	753	351	$48.00	$18.83
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	406	102	$76.31	$40.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	391	290	$175.10	$101.34
81002 Urinalysis, manual test	369	307	$20.00	$3.42
99213 Established patient office or other outpatient visit, typically 15 minutes	325	207	$129.22	$69.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	298	298	$195.00	$109.36
93000 Routine ekg using at least 12 leads including interpretation and report	121	116	$95.00	$15.69
G0008 Administration of influenza virus vaccine	80	78	$50.00	$23.40
90662 Influenza vaccine split virus, preservative free	73	73	$75.00	$47.54
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	70	12	$50.00	$23.54
77080 Dxa bone density measurement of hip, pelvis, spine	63	63	$275.00	$27.70
G0009 Administration of pneumococcal vaccine	58	58	$30.00	$23.40
G0444 Annual depression screening, 5 to 15 minutes	52	52	$50.00	$16.80
99497 Advance care planning, first 30 minutes	50	50	$175.00	$78.84
90670 Pneumococcal vaccine for injection into muscle	42	42	$200.00	$173.41
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	38	38	$45.00	$21.38
82962 Blood glucose (sugar) test performed by hand-held instrument	36	26	$18.00	$3.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$229.29	$156.76
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	30	30	$125.00	$94.84
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	27	22	$50.00	$13.88
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	25	16	$100.80	$38.88
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$195.00	$154.74
96127 Assessment of emotional or behavioral problems	13	12	$42.31	$5.12
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	11	11	$70.00	$21.38

Medical Specialties & State Licenses

CMS Verified: 2024-04-18

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 67159

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Beverly B. Sanders, M.d., L.l.c.

1760 Bass Rd, Macon, GA 312101061

Phone: 4783091294

Beverly B. Sanders, M.d., L.l.c.

1760 Bass Rd, Macon, GA 312101061

Select Rehabilitation, Llc

2600 Compass Rd, Glenview, IL 600268001

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location April 18, 2024

Registered at 1760 BASS RD STE 200B, MACON, GA 312101061 (Tel: 4783091294)

📍

Updated Business Mailing Address April 18, 2024

Registered at 1760 BASS RD STE 200B, MACON, GA 312101061 (Tel: 4783091294)

✅

NPI Profile Active August 13, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location August 13, 2012

Registered at 330 HOSPITAL DR., STE. 304, MACON, GA 31217 (Tel: 4787421010)

📍

Updated Business Mailing Address August 13, 2012

Registered at 330 HOSPITAL DR., STE. 304, MACON, GA 31217 (Tel: 4787421010)

👤

Provider Name / Credentials Updated August 13, 2012

Recorded as BEVERLY SANDERS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2012

Internal Medicine (License #67159 in GA)

🟢

Initial NPI Registration & Enumeration July 08, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376772640

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 08, 2009

Last Update: April 18, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1760 Bass Rd Ste 200b

Macon, GA 312101061

Phone: 4783091294

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.