SHIRLEY BOONE-SANFORD PH.D.
NPI 1609837616
Psychologist in Lawrenceville, GA
About Shirley Boone-sanford Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHIRLEY BOONE-SANFORD PH.D. (NPI 1609837616) is an individual psychologist in Lawrenceville, Georgia, licensed in Georgia (002451) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Southern Illinois University School Of Medicine (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Shirley Boone-sanford Ph.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.
Medicare Billing Reassignments
2Medicare enrollment records show Shirley Boone-sanford reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lawrenceville, GA 30045
- Reassigned Medicare billing, Georgia enrollment
Atlanta, GA 30305
- Reassigned Medicare billing, Georgia enrollment
- 1,389 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shirley Boone-sanford's NPI number?
The NPI number for Shirley Boone-sanford is 1609837616. It was assigned to this individual provider in the NPPES registry on March 29, 2006.
Where is Shirley Boone-sanford located?
Shirley Boone-sanford practices at 485 S Perry St Suite D, Lawrenceville, GA 30045. The listed phone number is (678) 205-0838.
What is Shirley Boone-sanford's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Shirley Boone-sanford enrolled in Medicare?
Yes. Shirley Boone-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 Shirley Boone-sanford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shirley Boone-sanford reassigns Medicare benefits to 2 organizations: Sbs Psychological Associates (Lawrenceville, GA) and The Southeast Permanente Medical Group (Atlanta, 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 Shirley Boone-sanford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shirley Boone-sanford accept?
Health plans from Oscar Health list Shirley Boone-sanford 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 Shirley Boone-sanford was last updated on January 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.