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TONDALAYA K SANFORD FNP-C
NPI 1194366567
Nurse Practitioner - Psychiatric/Mental Health in Atlanta, GA

Active since October 07, 2019PECOS EnrolledAccepts Medicare Assignment
3119 FONSECA PASS, ATLANTA, GA 30349(513) 200-8001 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2025, Sep 2, 2023, Oct 21, 2019 and 1 more (4 updates tracked since 2019).

About Tondalaya K Sanford Fnp-c NPPES

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

TONDALAYA K SANFORD FNP-C (NPI 1194366567) is an individual psychiatric/mental health provider in Atlanta, Georgia, licensed in Georgia (RN217783) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1194366567
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTONDALAYA K SANFORDCredential: FNP-C
Location Address3119 FONSECA PASSAtlanta, GA 30349-8140
Mailing Address1758 County Services Pkwy SwMarietta, GA 30008-4012 · (513) 200-8001
Phone(513) 200-8001
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 7, 2019
Last NPPES UpdateApril 10, 20254 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
✔ NPI 1194366567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN217783
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN217783 (GA)
3119 FONSECA PASS, Atlanta, GA 30349
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tondalaya K Sanford Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123474376
PECOS Enrollment IDI20231025001241
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Tondalaya Sanford reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Highland Rivers Csb
17 mi
Community/Behavioral Health
126 ENTERPRISE PATH, SUITE #202
Hiram, GA 30141
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Highland Rivers Community Service Board
  • 142 clinicians in this Medicare group
NPI 1578626917 (678) 567-0920
On Track Psychiatry LLC
19 mi
Psychiatric/Mental Health
1870 THE EXCHANGE SE, STE 200 #1299
Atlanta, GA 30339
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group
NPI 1154138089 (678) 643-2072
Willow Oak Community Behavioral Health Center
20 mi
Community/Behavioral Health
55 JEFFERSON PKWY # 55B
Newnan, GA 30263
  • Reassigned Medicare billing, Georgia enrollment
  • 13 clinicians in this Medicare group
NPI 1881131860 (770) 683-6946

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30349 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Tondalaya Sanford's NPI number?

The NPI number for Tondalaya Sanford is 1194366567. It was assigned to this individual provider in the NPPES registry on October 7, 2019.

Where is Tondalaya Sanford located?

Tondalaya Sanford practices at 3119 Fonseca Pass, Atlanta, GA 30349. The listed phone number is (513) 200-8001.

What is Tondalaya Sanford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tondalaya Sanford enrolled in Medicare?

Yes. Tondalaya Sanford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Tondalaya Sanford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tondalaya Sanford reassigns Medicare benefits to 3 organizations: Highland Rivers Csb (Hiram, GA), On Track Psychiatry LLC (Atlanta, GA) and Willow Oak Community Behavioral Health Center (Newnan, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tondalaya Sanford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tondalaya Sanford was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.