DR. TYLER MARTIN SADKA (DO) – Student in an Organized Health Care Education/Training Program, NPI 1356979876

DR. TYLER MARTIN SADKA (DO) is a healthcare provider. based in Gainesville, Georgia. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 102046 (GA). The NPI Number for DR. TYLER MARTIN SADKA (DO) is 1356979876

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. TYLER MARTIN SADKA (DO)
NPI
1356979876
Phone
(770) 219-8730
Address
743 SPRING ST NE STE 710
Enumeration Date
30 March 2020
Last Update Date
22 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2020 (6 years ago)
PAC ID
5294157723
Group Practice PAC ID
7012236664
Professional Enrollment ID
I20250212002824
Address ID
GA300142566CO5126XNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,513 EMERGENCY MEDICINE in GA

Provider Addresses for DR. TYLER MARTIN SADKA (DO)

  • 743 SPRING ST NE STE 710

    GAINESVILLE, GA 305013715

    Phone: (770) 219-8730

    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)

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: 2025-02-12

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
I20250212002824IEmergency MedicineGATBD

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 30501)

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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: 7012236664View full group profile
NameSpecialtyState
-GA
Internal MedicineMI
Internal MedicineGA
Physician AssistantGA
Internal MedicineGA
Nurse PractitionerWI
Nurse PractitionerGA
Pediatric Medicine, Internal MedicineMO
Hospitalist, Internal MedicineNJ
Internal Medicine, HospitalistGA

Reviews

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Frequently asked questions

How is DR. TYLER MARTIN SADKA (DO) identified in CMS data?
CMS-hosted NPPES data lists DR. TYLER MARTIN SADKA (DO) with NPI 1356979876.
Does CMS list DR. TYLER MARTIN SADKA (DO) as active?
Yes — DR. TYLER MARTIN SADKA (DO) is active in the NPI listing used on this page.
What is DR. TYLER MARTIN SADKA (DO)'s specialty?
The listing groups DR. TYLER MARTIN SADKA (DO) with Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
Where is DR. TYLER MARTIN SADKA (DO) based?
DR. TYLER MARTIN SADKA (DO) is tied to Gainesville, Georgia in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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