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MS. JANICE ELIZABETH SANDIFORD NP-C
NPI 1538475421
Nurse Practitioner - Family in Lithonia, GA

Active since August 30, 2010PECOS Enrolled
68.38/100
CMS Quality Rating
5700 HILLANDALE DR STE 250, LITHONIA, GA 30058(770) 981-5431(770) 981-5515 Get Directions Write a Review

NPPES record last updated: August 18, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 18, 2020, May 11, 2020 (2 updates tracked since 2020).

About Ms. Janice Elizabeth Sandiford Np-c NPPES

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

MS. JANICE ELIZABETH SANDIFORD NP-C (NPI 1538475421) is an individual family provider in Lithonia, Georgia, licensed in Georgia (RN120356) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538475421
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. JANICE ELIZABETH SANDIFORDCredential: NP-C
Location Address5700 HILLANDALE DR STE 250Lithonia, GA 30058-4120
Mailing Address1835 Savoy Dr, Suite 300Atlanta, GA 30341-1072 · (770) 981-5431 · Fax (770) 495-2307
Phone(770) 981-5431
Fax(770) 981-5515
Sole ProprietorNo
Enumeration DateAugust 30, 2010
Last NPPES UpdateAugust 18, 20202 updates tracked since enumeration
NPPES CertifiedAugust 18, 2020
✔ NPI 1538475421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN120356
5700 HILLANDALE DR STE 250, Lithonia, GA 30058
Open in Google Maps ↗

Other Identifiers 2

Other202I503406GA · Medicare Ptan
Medicaid003101232CGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Janice Elizabeth Sandiford Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Janice Sandiford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nsh Cancer Institute Professional Services G, LLC
18 mi
Hematology & Oncology
1100 JOHNSON FERRY RD NE, SUITE 600
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 163 clinicians in this Medicare group
NPI 1124379284 (404) 851-6378

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

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 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30058 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

68.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.82
Improvement Activities40
Cost40.24

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 Janice Sandiford's NPI number?

The NPI number for Janice Sandiford is 1538475421. It was assigned to this individual provider in the NPPES registry on August 30, 2010.

Where is Janice Sandiford located?

Janice Sandiford practices at 5700 Hillandale Dr Ste 250, Lithonia, GA 30058. The listed phone number is (770) 981-5431.

What is Janice Sandiford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Janice Sandiford enrolled in Medicare?

Yes. Janice Sandiford is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Janice Sandiford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Janice Sandiford reassigns Medicare benefits to Nsh Cancer Institute Professional Services G, LLC (Atlanta, GA). The 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 Janice Sandiford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Janice Sandiford accept?

Health plans from CareSource (Common Ground Healthcare) list Janice Sandiford 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 Janice Sandiford was last updated on August 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.