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DR. SANDERS MOMPREMIER M.D.
NPI 1245350404
Psychiatry & Neurology - Child & Adolescent Psychiatry in Tucker, GA

Active since March 30, 2007PECOS EnrolledAccepts Medicare Assignment
200 CRESCENT CENTER PKWY, TUCKER, GA 30084(404) 365-0966(770) 496-3708 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 20, 2023, Jan 10, 2022 (2 updates tracked since 2022).

About Dr. Sanders Mompremier M.d. NPPES

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

DR. SANDERS MOMPREMIER M.D. (NPI 1245350404) is an individual child & adolescent psychiatry provider in Tucker, Georgia, licensed in Georgia (53501) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1245350404
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. SANDERS MOMPREMIERCredential: M.D.
Location Address200 CRESCENT CENTER PKWYTucker, GA 30084-7047
Mailing Address5011 Oak Tree LnStone Mountain, GA 30087-3289 · (404) 849-2839
Phone(404) 365-0966
Fax(770) 496-3708
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMarch 30, 2007
Last NPPES UpdateOctober 20, 20232 updates tracked since enumeration
NPPES CertifiedOctober 20, 2023
✔ NPI 1245350404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in GA · 53501
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
200 CRESCENT CENTER PKWY, Tucker, GA 30084
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sanders Mompremier M.d. 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 ID6800168469
PECOS Enrollment IDI20170817001684
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.

Other Providers at the Same Location NPPES 20

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

DR. SWETA PATEL PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
200 CRESCENT CENTER PKWY
TUCKER, GA 30084
Dekalb County (404) 364-4848
MINH THU NGUYEN DANG
Pharmacist
200 CRESCENT CENTER PKWY
TUCKER, GA 30084
Dekalb County (770) 220-3787
JAMES W HAMILTON LPC
Psychologist (Cognitive & Behavioral)
200 CRESCENT CENTER PKWY, DEPARTMENT OF BEHAVIORAL HEALTH
TUCKER, GA 30084
Dekalb County (770) 496-3609
STANLEY JOHN JAGIELSKI M.D.
Obstetrics & Gynecology
200 CRESCENT CENTER PKWY, KAISER PERMANENTE CRESCENT CENTRE MEDICAL CENTER
TUCKER, GA 30084
Dekalb County (770) 496-3525
SPANDANA THENKABAIL MD
Internal Medicine
200 CRESCENT CENTER PKWY
TUCKER, GA 30084
Dekalb County (404) 365-0966
KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC.
Clinical Medical Laboratory
200 CRESCENT CENTER PKWY
TUCKER, GA 30084
Dekalb County (770) 496-3515
ANDREA PALMER PHARMD
Pharmacist
200 CRESCENT CENTER PKWY
TUCKER, GA 30084
Dekalb County (770) 220-3787
MRS. JAN T. SMITH RPH
Pharmacist
200 CRESCENT CENTER PKWY
TUCKER, GA 30084
Dekalb County (770) 496-3523

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 Sanders Mompremier's NPI number?

The NPI number for Sanders Mompremier is 1245350404. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is Sanders Mompremier located?

Sanders Mompremier practices at 200 Crescent Center Pkwy, Tucker, GA 30084. The listed phone number is (404) 365-0966.

What is Sanders Mompremier's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Sanders Mompremier enrolled in Medicare?

Yes. Sanders Mompremier 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.

When was this NPI record last updated?

The NPPES record for Sanders Mompremier was last updated on October 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.