MARY J. SANDAGE (M.S., CCC-SLP) – Speech-Language Pathologist, NPI 1336364835

MARY J. SANDAGE (M.S., CCC-SLP) is a healthcare provider. based in Auburn, Alabama. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials M.S., CCC-SLP. They hold a License No. 2436 (AL). The NPI Number for MARY J. SANDAGE (M.S., CCC-SLP) is 1336364835

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
MARY J. SANDAGE (M.S., CCC-SLP)
NPI
1336364835
Phone
(334) 826-1899
Address
665 OPELIKA RD
Enumeration Date
17 April 2007
Last Update Date
22 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3348449600
Graduation Year
1992 (34 years ago)
PAC ID
9638462021
Group Practice PAC ID
2365735750
Professional Enrollment ID
I20160722000337
Address ID
AL368490001AU1199XCTRX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

100 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in AL

Provider Addresses for MARY J. SANDAGE (M.S., CCC-SLP)

  • 665 OPELIKA RD

    AUBURN, AL 368304013

    Phone: (334) 826-1899

    Type: Location

  • 710 SANDERS ST

    AUBURN, AL 368303036

    Phone: (334) 332-8849

    Type: Mailing

  • 1199 HALEY CENTER

    AUBURN, AL 368494013

    Phone: (334) 844-9600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-07-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160722000337IQualified Speech Language PathologistALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36830)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365735750View full group profile
NameSpecialtyState
Qualified Speech Language PathologistAL
Qualified AudiologistGA
Qualified Speech Language PathologistAL
Qualified AudiologistAL
Qualified AudiologistAL
Qualified Speech Language PathologistAL
-GA
Qualified AudiologistAL
Qualified Speech Language PathologistAL
Qualified AudiologistAL

Reviews

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Frequently asked questions

What federal number belongs to MARY J. SANDAGE (M.S., CCC-SLP)?
The federal identifier for MARY J. SANDAGE (M.S., CCC-SLP) is NPI 1336364835.
Is MARY J. SANDAGE (M.S., CCC-SLP) currently active in the NPI registry?
CMS-published data lists MARY J. SANDAGE (M.S., CCC-SLP) as an active registrant.
Does MARY J. SANDAGE (M.S., CCC-SLP) list a primary specialty?
If you are matching referrals, note Speech-Language Pathologist for MARY J. SANDAGE (M.S., CCC-SLP). Clinical services aligned with this taxonomy classification.
Where is MARY J. SANDAGE (M.S., CCC-SLP)'s primary listing?
We display Auburn, Alabama because that is what the record indicates for MARY J. SANDAGE (M.S., CCC-SLP).
How can I contact MARY J. SANDAGE (M.S., CCC-SLP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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