DR. SANDRA WORDLAW-WATKINS (M.D.) – Family Medicine Physician, NPI 1023151313

DR. SANDRA WORDLAW-WATKINS (M.D.) is a healthcare provider. based in College park, Georgia. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 49224 (GA). The NPI Number for DR. SANDRA WORDLAW-WATKINS (M.D.) is 1023151313

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. SANDRA WORDLAW-WATKINS (M.D.)
NPI
1023151313
Phone
Not provided
Address
1720 PHOENIX BLVD
Enumeration Date
15 February 2007
Last Update Date
10 May 2017

Doctor Profile

Medical School Name
KANSAS CITY COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
7704604285
Graduation Year
1997 (29 years ago)
PAC ID
6901930908
Group Practice PAC ID
4284951542
Professional Enrollment ID
I20100812000583
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. SANDRA WORDLAW-WATKINS (M.D.)

  • 1720 PHOENIX BLVD

    STE 450

    COLLEGE PARK, GA 303495598

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: IDORSIA PHARMACEUTICALS US INC ($38).

Total Amount

$38

General + Research + Ownership

Payments

2

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-08-12

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
I20100812000583IFamily PracticeGATBD

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 30349)

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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: 4284951542View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
Diagnostic RadiologyGA
Nurse PractitionerGA
Internal MedicineGA
Internal Medicine, Allergy/ImmunologyGA
General PracticeGA
Nurse PractitionerGA
Internal MedicineGA
Physician AssistantGA

Reviews

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Frequently asked questions

Does DR. SANDRA WORDLAW-WATKINS (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. SANDRA WORDLAW-WATKINS (M.D.) uses 1023151313.
Can I rely on DR. SANDRA WORDLAW-WATKINS (M.D.) being an active provider?
As of the registry snapshot, DR. SANDRA WORDLAW-WATKINS (M.D.) is marked active.
What is DR. SANDRA WORDLAW-WATKINS (M.D.)'s specialty?
The listing groups DR. SANDRA WORDLAW-WATKINS (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does DR. SANDRA WORDLAW-WATKINS (M.D.) serve?
DR. SANDRA WORDLAW-WATKINS (M.D.)'s listing highlights College Park, Georgia; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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