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FAYETTE AREA DERMATOLOGY
NPI 1073624763
Specialist in Fayetteville, GA

Active since August 31, 2006CLIA Certified · 2 labs
450 LANIER AVE W, FAYETTEVILLE, GA 30214(770) 460-8988(770) 460-0727 Get Directions Write a Review

NPPES record last updated: June 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fayette Area Dermatology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAYETTE AREA DERMATOLOGY (NPI 1073624763) is a healthcare organization registered as a specialist in Fayetteville, Georgia and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates and lists James Thomas Sandwich, President, as its authorized official.

NPPES Registry Identity

NPI1073624763
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJAMES T. SANDWICH, M.D., P.C.
Location Address450 LANIER AVE WFayetteville, GA 30214-1502
Mailing Address450 Lanier Ave WFayetteville, GA 30214-1502 · (770) 460-8988 · Fax (770) 460-0727
Phone(770) 460-8988
Fax(770) 460-0727
Organization SubpartNo
Authorized OfficialJames Thomas SandwichPresident · (770) 460-6194
Enumeration DateAugust 31, 2006
Last NPPES UpdateJune 18, 2015
✔ NPI 1073624763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · GA36609
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
450 LANIER AVE W, Fayetteville, GA 30214
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Other Names 1

Doing Business AsFayette Area Dermatology

Other Identifiers 2

Medicare PIN11BDMWR
Medicare UPINF54519GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 11D0934752

Fayette Area Dermatology · Fayetteville, GA
Active · expires Dec 18, 2027
CLIA Number11D0934752
Laboratory TypePhysician Office
Certificate Effective DateDecember 19, 2025
Certificate Expiration DateDecember 18, 2027
Laboratory DirectorJames T. Sandwich
Laboratory Phone(770) 460-8988
Laboratory LocationFayette Area Dermatology450 Lanier Ave West, Fayetteville, GA 30214
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 11D2085521

Fayette Area Dermatology · Griffin, GA
Active · expires Sep 29, 2026
CLIA Number11D2085521
Laboratory TypePhysician Office
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorJames T. Sandwich
Laboratory Phone(770) 460-8988
Laboratory LocationFayette Area Dermatology731 South 8th Street, Griffin, GA 30224
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES THOMAS SANDWICH M.D.
Dermatology
450 LANIER AVE W
FAYETTEVILLE, GA 30214
Fayette County (770) 460-8988

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James T. Sandwich, M.D., P.C.'s NPI number?

The NPI number for James T. Sandwich, M.D., P.C. is 1073624763. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Fayette Area Dermatology.

Where is James T. Sandwich, M.D., P.C. located?

James T. Sandwich, M.D., P.C. is located at 450 Lanier Ave W, Fayetteville, GA 30214. The listed phone number is (770) 460-8988.

What is James T. Sandwich, M.D., P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does James T. Sandwich, M.D., P.C. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does James T. Sandwich, M.D., P.C. accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list James T. Sandwich, M.D., P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James T. Sandwich, M.D., P.C. was last updated on June 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.