ROY Q SANDERS, MD PC (NPI# 1043619802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043619802 |
| Entity Type | Organization |
| Organization Name | ROY Q SANDERS, MD PC |
| Other Organization Name | DECATUR FAMILY PSYCHIATRY |
| Practice Address |
160 Clairemont Ave Suite 445 Decatur GA 30030-2500 |
| Practice Telephone | 4045004266 |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2014-08-18 |
| Authorized Official Name | ROY SANDERS (OWNER) |
| Authorized Official Telephone | 4045004266 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Decatur Family Psychiatry | Doing Business As Name - Organization |
| Street Address |
160 CLAIREMONT AVE SUITE 445 |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184640559 | Marvin Robert Winter | Dentist | 160 Clairemont Ave, Suite 140, Decatur, GA 30030-2500 | 2006-07-15 |
| 1902410624 | Erryn Jones | Behavior Technician | 160 Clairemont Ave, Decatur, GA 30030-2500 | 2020-09-01 |
| 1811501638 | Nia Nikkia Simon | Behavior Technician | 160 Clairemont Ave, Decatur, GA 30030-2500 | 2020-08-31 |
| 1942746540 | A Passion for Health & Hearts Hca, LLC | Home Health | 160 Clairemont Ave, Suite 200, Decatur, GA 30030-2500 | 2017-01-06 |
| 1801257563 | Amanda Louise Morse | Counselor | 160 Clairemont Ave, Suite 445, Decatur, GA 30030-2500 | 2016-03-09 |
| 1851751580 | Dr Gj Childs & Associates, Inc. | Psychologist | 160 Clairemont Ave, Suite 200, Decatur, GA 30030-2500 | 2016-02-23 |
| 1366817231 | Amy Taylor Scully | Social Worker | 160 Clairemont Ave, Suite 445, Decatur, GA 30030-2500 | 2015-12-03 |
| 1912377185 | Complete Life Counseling Services | Community/Behavioral Health | 160 Clairemont Ave, Suite 200, Decatur, GA 30030-2500 | 2015-09-30 |
| 1285002121 | Meenakshi Lambha | Psychologist | 160 Clairemont Ave, Decatur, GA 30030-2500 | 2015-09-09 |
| 1225418601 | Jones Counseling & Consulting, LLC | Community/Behavioral Health | 160 Clairemont Ave, Suite 200, Decatur, GA 30030-2500 | 2015-06-01 |
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|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
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| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972927861 | Tyrone D. Lane Enterprises, Incorporated | Psychologist | 5304 Panola Industrial Boulevard, Suite L, Decatur, GA 30035 | 2014-02-12 |
| 1952820052 | Lauren Sophie Marx | Psychologist | 2440 Lawrenceville Hwy Ste 200, Decatur, GA 30033-3267 | 2017-09-11 |
| 1194964619 | Stephanie L Pearson | Psychologist | 3110 Clifton Springs Rd, Suite B, Decatur, GA 30034-4600 | 2009-02-05 |
| 1043439250 | Cindy Christine Schoell | Psychologist | 1244 Clairmont Rd, Suite 101, Decatur, GA 30030-1259 | 2007-04-25 |
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|---|---|---|---|---|
| 1538693254 | Rachel Yosick | Psychologist | 520 Wembley Cir, Sandy Springs, GA 30328-6753 | 2017-04-19 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1245655893 | Tiffany Gilmore Randell | Psychologist | 101 Devant Street, Office 401, Fayetteville, GA 30214 | 2014-02-19 |
| 1720409493 | Tonya Favors | Psychologist | 311 S Lee St, Apt C, Americus, GA 31709-3971 | 2013-12-26 |
| 1912336546 | Francine Adams | Psychologist | 324 Trace Ln, Lawrenceville, GA 30046-2896 | 2013-11-04 |
| 1447542691 | Erin Marie Jones | Psychologist | 1256 Briarcliff Rd Ne Ste 322e, Atlanta, GA 30306-2636 | 2011-05-06 |
| 1164729901 | Tiffany Whitworth | Psychologist | 4139 Hospital Dr Ne, Covington, GA 30014-2565 | 2011-02-14 |
| 1548573264 | Kimberley Blaker Saye | Psychologist | 4695 Mahonia Way Nw, Acworth, GA 30102-3575 | 2010-07-22 |
| 1316269350 | Caitlin Herzinger Delfs | Psychologist | 4994 Lower Roswell Rd Ste 10, Marietta, GA 30068-4332 | 2010-02-18 |
| 1831323849 | Shital Pramod Gaitonde | Psychologist | 1003 Bombay Ln, Roswell, GA 30076-5820 | 2009-05-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.