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SEBASTIAN ANDRES GANDARILLAS FRAGA M.D
NPI 1871116277
Internal Medicine - Nephrology in Stockbridge, GA

Active since May 20, 2020PECOS EnrolledAccepts Medicare Assignment
105 NORTH PARK TRAIL, SUITE 300, STOCKBRIDGE, GA 30281(678) 284-0800(678) 284-9299 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Sebastian Andres Gandarillas Fraga M.d NPPES

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

SEBASTIAN ANDRES GANDARILLAS FRAGA M.D (NPI 1871116277) is an individual nephrology provider in Stockbridge, Georgia, licensed in Georgia (11479) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1871116277
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameSEBASTIAN ANDRES GANDARILLAS FRAGACredential: M.D
Location Address105 NORTH PARK TRAIL, SUITE 300Stockbridge, GA 30281
Mailing Address105 North Park Trail, Suite 300Stockbridge, GA 30281 · (678) 284-0800 · Fax (678) 284-9299
Phone(678) 284-0800
Fax(678) 284-9299
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 20, 2020
Last NPPES UpdateJune 19, 2026
NPPES CertifiedJune 19, 2026
✔ NPI 1871116277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in GA · 11479
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
105 NORTH PARK TRAIL, Stockbridge, GA 30281
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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

Sebastian Andres Gandarillas Fraga M.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.

PECOS PAC ID2163996844
PECOS Enrollment IDI20260702003610
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30281 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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.

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 Sebastian Gandarillas Fraga's NPI number?

The NPI number for Sebastian Gandarillas Fraga is 1871116277. It was assigned to this individual provider in the NPPES registry on May 20, 2020.

Where is Sebastian Gandarillas Fraga located?

Sebastian Gandarillas Fraga practices at 105 North Park Trail Suite 300, Stockbridge, GA 30281. The listed phone number is (678) 284-0800.

What is Sebastian Gandarillas Fraga's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Sebastian Gandarillas Fraga enrolled in Medicare?

Yes. Sebastian Gandarillas Fraga 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.

When was this NPI record last updated?

The NPPES record for Sebastian Gandarillas Fraga was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.