Active NPI
Kristin Nicole Anderson, NP-C
- Family Nurse Practitioner
- Charleston, SC
National Provider Identifier
1003568775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 31160
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220607001529 | GA | Practitioner - Nurse Practitioner | 8729466594 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31160 | SC | MD | Family 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.