Physician Compare National (NPI:1689763633)

HEALTHCARE PROVIDER: FLOYD STUART SANDERS MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1689763633
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3870673924
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120228000647
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SANDERS
	Individual professional last name
Provider First Name	FLOYD
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	SPORTS MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	SPORTS MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	207 ADAMS DR
	Group Practice or individual's line 1 address
City	DEMOREST
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	305354501
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110041
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HABERSHAM COUNTY MEDICAL CTR
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110029
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	NORTHEAST GEORGIA MEDICAL CENTER, INC
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	110005
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	NORTHSIDE HOSPITAL FORSYTH
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y