DAVID SANCHEZ NP
NPI 1316567928
Nurse Practitioner - Gerontology in Sharpsburg, GA

Active since April 23, 2020PECOS EnrolledAccepts Medicare Assignment
105 FISCHER MARKETPLACE LN STE 100, SHARPSBURG, GA 30277(678) 633-3260 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 31, 2026, Sep 17, 2024, Apr 15, 2022 and 1 more (4 updates tracked since 2020).

About David Sanchez Np NPPES

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

DAVID SANCHEZ NP (NPI 1316567928) is an individual gerontology provider in Sharpsburg, Georgia, licensed in Georgia (APRN-NP239086) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1316567928
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameDAVID SANCHEZCredential: NP
Location Address105 FISCHER MARKETPLACE LN STE 100Sharpsburg, GA 30277-3680
Mailing Address4300 N Point Pkwy Ste 300Alpharetta, GA 30022-4102
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 23, 2020
Last NPPES UpdateJuly 31, 20264 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1316567928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Licenses✔ Licensed in GA · APRN-NP239086✔ Licensed in GA · RN239086
Also ListedRegistered NurseTaxonomy 163W00000X · License RN239086 (GA)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN239086 (GA)
105 FISCHER MARKETPLACE LN STE 100, Sharpsburg, GA 30277

Secondary Practice Locations 3

Location 14235 Johns Creek Pkwy Ste ASuwanee, GA 30024-6038 · Phone (678) 402-9550
Location 2950 Battery Ave SE Ste 1216Atlanta, GA 30339-3094 · Phone (888) 663-6331 · Fax (415) 252-7176
Location 3745 Poplar RdNewnan, GA 30265-1618 · Phone (770) 400-1152

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

David Sanchez Np 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 ID5597144006
PECOS Enrollment IDI20220614000019
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

4

Medicare enrollment records show David Sanchez reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
101 YORKTOWN DR
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • 759 clinicians in this Medicare group
Internal Medicine
240 N HIGHLAND AVE NE STE F
Atlanta, GA 30307
  • Reassigned Medicare billing, Georgia enrollment
  • 427 clinicians in this Medicare group
Clinic/Center
22 14TH STREET NW, SPACE 129
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 13 clinicians in this Medicare group
Family Medicine
3905 BROOKSIDE PKWY STE 300
Alpharetta, GA 30022
  • Reassigned Medicare billing, Georgia enrollment
  • 240 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
131 services93 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
94 services74 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
23 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110229
Location745 Poplar RoadNewnan, GA 30265 · Coweta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30277 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Other Providers at the Same Location NPPES 12

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

Nurse Practitioner (Family)
105 FISCHER MARKETPLACE LN STE 100
SHARPSBURG, GA 30277
Family Medicine
105 FISCHER MARKETPLACE LN STE 100
SHARPSBURG, GA 30277
Family Medicine
105 FISCHER MARKETPLACE LN STE 100
SHARPSBURG, GA 30277
Family Medicine
105 FISCHER MARKETPLACE LN STE 100
SHARPSBURG, GA 30277
Internal Medicine
105 FISCHER MARKETPLACE LN STE 100
SHARPSBURG, GA 30277
Nurse Practitioner (Family)
105 FISCHER MARKETPLACE LN STE 100
SHARPSBURG, GA 30277
Nurse Practitioner
105 FISCHER MARKETPLACE LN STE 100
SHARPSBURG, GA 30277
Internal Medicine
105 FISCHER MARKETPLACE LN STE 100
SHARPSBURG, GA 30277

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 David Sanchez's NPI number?

The NPI number for David Sanchez is 1316567928. It was assigned to this individual provider in the NPPES registry on April 23, 2020.

Where is David Sanchez located?

David Sanchez practices at 105 Fischer Marketplace Ln Ste 100, Sharpsburg, GA 30277. The listed phone number is (678) 633-3260.

What is David Sanchez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is David Sanchez enrolled in Medicare?

Yes. David Sanchez 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 David Sanchez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Sanchez reassigns Medicare benefits to 4 organizations: Privia Medical Group Of Georgia LLC (Fayetteville, GA), Piedmont Medical Care Corporation (Atlanta, GA), Emory Physicians Group, LLC (Atlanta, GA) and Southeast Medical Group, P.C. (Alpharetta, 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 David Sanchez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Sanchez accept?

Health plans from Oscar Health list David Sanchez 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.

Is David Sanchez affiliated with any hospitals?

According to CMS data, David Sanchez is affiliated with Piedmont Hospital and Piedmont Newnan Hospital, Inc.

When was this NPI record last updated?

The NPPES record for David Sanchez was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.