SANDRA ELAINE DUBOSE FNP
NPI 1548264047
Nurse Practitioner - Family in Augusta, GA

Q: What is Sandra Dubose's NPI number?

The NPI number for Sandra Dubose is 1548264047. It was assigned to this individual provider in the NPPES registry on June 13, 2005. The provider is also known as Sandra Jones Dubose Fnp.

Q: What is Sandra Dubose's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sandra Dubose was last updated on March 19, 2024. 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.

Active since June 13, 2005PECOS EnrolledAccepts Medicare Assignment

1631 GORDON HWY STE 17A, AUGUSTA, GA 30906(706) 230-7006(762) 257-7442 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sandra Elaine Dubose Fnp NPPES

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

SANDRA ELAINE DUBOSE FNP (NPI 1548264047) is an individual family provider in Augusta, Georgia, licensed in Georgia (RN103532) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1548264047

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSANDRA ELAINE DUBOSECredential: FNP

Location Address1631 GORDON HWY STE 17AAugusta, GA 30906-2229

Mailing AddressPo Box 740015Atlanta, GA 30374-0015 · (312) 733-9730

Phone(706) 230-7006

Fax(762) 257-7442

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateJune 13, 2005

Last NPPES UpdateMarch 19, 2024

NPPES CertifiedMarch 19, 2024

✔ NPI 1548264047 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

Licenses✔ Licensed in GA · RN103532✔ Licensed in SC · 129

1631 GORDON HWY STE 17A, Augusta, GA 30906

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Other Names 1

Former Name (1)Sandra Jones Dubose Fnp

Other Identifiers 2

MedicaidNP0278SC

Medicaid000829595AGA

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

Sandra Elaine Dubose Fnp 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 ID8224209432

PECOS Enrollment IDI20240514003173

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.

Areas of Expertise CMS Part B claims 2

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 straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

32 services21 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

14 services12 patients

Hospital Affiliations CMS Care Compare

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

Au Medical Center

Acute Care Hospitals · Augusta, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110034

Location1120 15th StreetAugusta, GA 30912 · Richmond County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30906 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 7

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

COLBY ANN GONZALES

Nurse Practitioner (Family)