Sandy Plains Medical Group, LLC
NPI 1215889126ActiveOrganization· Pediatrics· Marietta, GA
Pediatrics in Marietta, Georgia, registered in NPPES in February 2026. The authorized official on file is Justin Glaeser, Managing Partner.
Overview
| NPI | 1215889126 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 12, 2026 |
| Last updated in NPPES | Feb 12, 2026 |
| Certified by provider | Feb 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Counselor, Professional | 101YP2500X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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