Individual provider Active NPI

Kristin Nicole Anderson, NP-C

  • Family Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1003568775
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31160 Issued in SC
Practice address
846 Piccadilly Cir
Charleston, SC 29412-9031
Phone
(706) 495-8485
NPI assigned
Jan 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN268308 GA
Family Nurse Practitioner 363LF0000X 31160 SC Primary
Family Nurse Practitioner 363LF0000X RN268308 GA

Addresses

Primary practice location

846 Piccadilly Cir
Charleston, SC 29412-9031

Mailing address

846 Piccadilly Cir
Charleston, SC 29412-9031
Phone (706) 495-8485

Other practice location 1

3675 J Dewey Gray Cir Ste 300
Augusta, GA 30909-1868
Phone (706) 863-9595

Other practice location 2

3651 Wheeler Rd
Augusta, GA 30909-6521
Phone (706) 863-9595

Other practice location 3

4571 Cox Rd Ste B
Evans, GA 30809-3451
Phone (706) 495-8485

Other names 1

  • Kristin Anderson Hannah Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220607001529 GA Practitioner - Nurse Practitioner 8729466594

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31160SCMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1003568775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "846 PICCADILLY CIR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294129031",
            "telephone_number": "706-495-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "846 PICCADILLY CIR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294129031",
            "telephone_number": "706-495-8485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3675 J Dewey Gray Cir Ste 300",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309091868",
            "country_code": "US",
            "telephone_number": "706-863-9595",
            "fax_number": "706-868-8375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3651 Wheeler Rd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309096521",
            "country_code": "US",
            "telephone_number": "706-863-9595",
            "fax_number": "706-868-8735",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4571 Cox Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308093451",
            "country_code": "US",
            "telephone_number": "706-495-8485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KRISTIN",
        "middle_name": "NICOLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN268308",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "31160",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN268308",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "HANNAH",
            "middle_name": "ANDERSON",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.