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SANJEEV S TENDOLKAR MD LLC
NPI 1174878227
Family Medicine in Loganville, GA

Active since July 16, 2012CLIA 11D0257792 · Waiver
4589 LAWRENCEVILLE RD, LOGANVILLE, GA 30052(770) 466-8672 Get Directions Write a Review

NPPES record last updated: July 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sanjeev S Tendolkar Md Llc NPPES

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

SANJEEV S TENDOLKAR MD LLC (NPI 1174878227) is a healthcare organization registered as a family medicine in Loganville, Georgia and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Sanjeev Tendolkar, President, as its authorized official.

NPPES Registry Identity

NPI1174878227
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSANJEEV S TENDOLKAR MD LLC
Location Address4589 LAWRENCEVILLE RDLoganville, GA 30052-7320
Mailing Address4589 Lawrenceville RdLoganville, GA 30052-7320
Phone(770) 466-8672
Organization SubpartNo
Authorized OfficialSanjeev TendolkarPresident · (770) 598-3397
Enumeration DateJuly 16, 2012
✔ NPI 1174878227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 63066
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4589 LAWRENCEVILLE RD, Loganville, GA 30052
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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 Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 Waiver 11D0257792

Sanjeev S Tendolkar MD LLC · Loganville, GA
Active · expires Aug 31, 2026
CLIA Number11D0257792
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSanjeev S. Tendolkar
Laboratory Phone(770) 466-8672
Laboratory LocationSanjeev S Tendolkar MD LLC4593 Lawrenceville Road, Loganville, GA 30052
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

WILLIAM A. DELP,JR. DO,PC
Family Medicine
4589 LAWRENCEVILLE RD
LOGANVILLE, GA 30052
Gwinnett County (770) 466-8672
SANJEEV S TENDOLKAR M.D.
Family Medicine
4589 LAWRENCEVILLE RD
LOGANVILLE, GA 30052
Gwinnett County (770) 466-8672
BRANDI HARTMAN WILLARD NP-C
Nurse Practitioner (Family)
4589 LAWRENCEVILLE RD
LOGANVILLE, GA 30052
Gwinnett County (770) 466-8672
MRS. SARAH A NASH PA-C
Physician Assistant
4589 LAWRENCEVILLE RD
LOGANVILLE, GA 30052
Gwinnett County (770) 466-8672
MRS. DANA MARIE O'CONNELL NP-C
Nurse Practitioner (Family)
4589 LAWRENCEVILLE RD
LOGANVILLE, GA 30052
Gwinnett County (770) 466-8672

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 Sanjeev S Tendolkar MD LLC's NPI number?

The NPI number for Sanjeev S Tendolkar MD LLC is 1174878227. It was assigned to this organization in the NPPES registry on July 16, 2012.

Where is Sanjeev S Tendolkar MD LLC located?

Sanjeev S Tendolkar MD LLC is located at 4589 Lawrenceville Rd, Loganville, GA 30052. The listed phone number is (770) 466-8672.

What is Sanjeev S Tendolkar MD LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Sanjeev S Tendolkar MD LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0257792) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sanjeev S Tendolkar MD LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Sanjeev S Tendolkar MD LLC 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 Sanjeev S Tendolkar MD LLC was last updated on July 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.