MRS. AMANDA A SANDERS (PA-C) – Medical Physician Assistant, NPI 1417292004

MRS. AMANDA A SANDERS (PA-C) is a healthcare provider. based in Decatur, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5921 (GA). The NPI Number for MRS. AMANDA A SANDERS (PA-C) is 1417292004

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMANDA A SANDERS (PA-C)
NPI
1417292004
Phone
(404) 321-4600
Address
1951 CLAIRMONT RD
Enumeration Date
7 December 2012
Last Update Date
13 June 2019

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
4043214600
Graduation Year
2010 (16 years ago)
PAC ID
2668619230
Group Practice PAC ID
3678547569
Professional Enrollment ID
I20180822003473
Address ID
GA300333415DE1951XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for MRS. AMANDA A SANDERS (PA-C)

  • 1951 CLAIRMONT RD

    DECATUR, GA 300333415

    Phone: (404) 321-4600

    Fax: (404) 320-0987

    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 232 Open Payments records for all available years, with a total value of $5,729.

Total Amount is formed as General ($5,729) + Research ($0) + Ownership ($0) = $5,729.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($1,379).

Total Amount

$5,729

General + Research + Ownership

Payments

232

Total payment records

General Amount

$5,729

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

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: 2018-08-22

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
I20180822003473IPhysician AssistantGATBD

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 30033)

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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: 3678547569View full group profile
NameSpecialtyState
Physician AssistantGA
-GA
D E R M A T O L O G YGA
Physician AssistantGA
D E R M A T O L O G YGA
D E R M A T O L O G YGA
D E R M A T O L O G YIL
D E R M A T O L O G YGA
D E R M A T O L O G YGA
Physician AssistantGA

Reviews

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Frequently asked questions

Does MRS. AMANDA A SANDERS (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. AMANDA A SANDERS (PA-C) uses 1417292004.
Is MRS. AMANDA A SANDERS (PA-C) still practicing?
MRS. AMANDA A SANDERS (PA-C) is currently listed as active in the public NPI registry.
What is MRS. AMANDA A SANDERS (PA-C) best known for clinically?
Directory data describes MRS. AMANDA A SANDERS (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does MRS. AMANDA A SANDERS (PA-C) serve?
MRS. AMANDA A SANDERS (PA-C)'s listing highlights Decatur, Georgia; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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