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PIERCE SANDERS AA
NPI 1669347092
Anesthesiologist Assistant in Kennesaw, GA

Active since October 07, 2025
1300 RIDENOUR BLVD NW STE 300, KENNESAW, GA 30152(770) 702-1806 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pierce Sanders Aa NPPES

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

PIERCE SANDERS AA (NPI 1669347092) is an individual anesthesiologist assistant in Kennesaw, Georgia and active in the NPI registry since October 2025. He is affiliated with Wellstar Cobb Medical Center and is a graduate of Other (2025).

NPPES Registry Identity

NPI1669347092
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NamePIERCE SANDERSCredential: AA
Location Address1300 RIDENOUR BLVD NW STE 300Kennesaw, GA 30152-4402
Mailing Address8000 Avonlea PlWoodstock, GA 30189-7130
Phone(770) 702-1806
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 7, 2025
NPPES CertifiedOctober 7, 2025
✔ NPI 1669347092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
1300 RIDENOUR BLVD NW STE 300, Kennesaw, GA 30152
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pierce Sanders Aa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022506112
PECOS Enrollment IDI20251021003371

Medicare Billing Reassignments

2

Medicare enrollment records show Pierce Sanders reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mak Anesthesia Georgia, LLC
Same address
Anesthesiology
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
  • Reassigned Medicare billing, Georgia enrollment
  • 213 clinicians in this Medicare group
NPI 1609390103 (770) 702-1806
Mak Anesthesia Holdings LLC
Same address
Anesthesiology
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
  • Reassigned Medicare billing, Georgia enrollment
  • 629 clinicians in this Medicare group
NPI 1912452939 (770) 702-1806

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

Hospital Affiliations CMS Care Compare

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

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

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.

MELODY C BOLTON RUDI
Anesthesiologist Assistant
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Cobb County (985) 722-7993
KAELI SURILLA DAILEY
Anesthesiologist Assistant
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Cobb County (770) 702-1806
DAISY TAMBE JEAN-PIERRE CRNA
Nurse Anesthetist, Certified Registered
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Cobb County (770) 702-1806
HENRY RACHAL III M.D.
Anesthesiology
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Cobb County (770) 693-0810
KATELYN E LONGACRE CRNA
Nurse Anesthetist, Certified Registered
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Cobb County (770) 702-1806
SHEA ELIZABETH REYNOLDS
Nurse Practitioner
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Cobb County (770) 702-1806
WALKER BARROW AA
Anesthesiologist Assistant
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Cobb County (770) 706-1806
HOJEAN YOON MD
Anesthesiology
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA 30152
Cobb County (770) 702-1806

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 Pierce Sanders's NPI number?

The NPI number for Pierce Sanders is 1669347092. It was assigned to this individual provider in the NPPES registry on October 7, 2025.

Where is Pierce Sanders located?

Pierce Sanders practices at 1300 Ridenour Blvd NW Ste 300, Kennesaw, GA 30152. The listed phone number is (770) 702-1806.

What is Pierce Sanders's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Pierce Sanders enrolled in Medicare?

Yes. Pierce Sanders is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Pierce Sanders's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pierce Sanders reassigns Medicare benefits to 2 organizations: Mak Anesthesia Georgia, LLC (Kennesaw, GA) and Mak Anesthesia Holdings LLC (Kennesaw, 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 Pierce Sanders's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Pierce Sanders affiliated with any hospitals?

According to CMS data, Pierce Sanders is affiliated with Wellstar Cobb Medical Center.

When was this NPI record last updated?

The NPPES record for Pierce Sanders was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.