ALVIN SANDERSON III NP
NPI 1942963566
Nurse Practitioner - Adult Health in Snellville, GA

Active since October 20, 2021PECOS EnrolledAccepts Medicare Assignment
90.8/100
CMS Quality Rating
1700 TREE LN STE 190, SNELLVILLE, GA 30078(205) 683-5571 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alvin Sanderson Iii Np NPPES

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

ALVIN SANDERSON III NP (NPI 1942963566) is an individual adult health provider in Snellville, Georgia, licensed in Georgia (RN260312) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS, is affiliated with Piedmont Walton Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1942963566
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameALVIN SANDERSON IIICredential: NP
Location Address1700 TREE LN STE 190Snellville, GA 30078-6766
Mailing Address19 College St Unit 263Auburn, GA 30011-4303 · (770) 601-3108
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 20, 2021
NPPES CertifiedOctober 20, 2021
NPI 1942963566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in GA · RN260312
1700 TREE LN STE 190, Snellville, GA 30078

Accepted Insurance

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

Alvin Sanderson Iii Np 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 ID6002203213
PECOS Enrollment IDI20220418001197
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 4

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.

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
37 services37 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services16 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
12 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Walton Hospital

Acute Care Hospitals · Monroe, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110046
Location2151 W Spring StreetMonroe, GA 30655 · Walton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30078 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.

90.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities20

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.

Physician Assistant
1700 TREE LN STE 190
SNELLVILLE, GA 30078
Internal Medicine (Cardiovascular Disease)
1700 TREE LN STE 190
SNELLVILLE, GA 30078
Internal Medicine (Interventional Cardiology)
1700 TREE LN STE 190
SNELLVILLE, GA 30078
Internal Medicine (Interventional Cardiology)
1700 TREE LN STE 190
SNELLVILLE, GA 30078
Nurse Practitioner (Acute Care)
1700 TREE LN STE 190
SNELLVILLE, GA 30078
Family Medicine
1700 TREE LN STE 190
SNELLVILLE, GA 30078
Internal Medicine
1700 TREE LN STE 190
SNELLVILLE, GA 30078

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 Alvin Sanderson's NPI number?

The NPI number for Alvin Sanderson is 1942963566. It was assigned to this individual provider in the NPPES registry on October 20, 2021.

Where is Alvin Sanderson located?

Alvin Sanderson practices at 1700 Tree Ln Ste 190, Snellville, GA 30078. The listed phone number is (205) 683-5571.

What is Alvin Sanderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Alvin Sanderson enrolled in Medicare?

Yes. Alvin Sanderson 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.

What insurance does Alvin Sanderson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Alvin Sanderson 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.

Is Alvin Sanderson affiliated with any hospitals?

According to CMS data, Alvin Sanderson is affiliated with Piedmont Walton Hospital.

When was this NPI record last updated?

The NPPES record for Alvin Sanderson was last updated on October 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.