Justin W Anderson, NP
Individual provider Active NPI Family Nurse Practitioner · Bainbridge, GA
NPI 1023494135 · NPPES record last updated Mar 20, 2026
Key facts
- NPI
- 1023494135
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN207284 (GA)
- Practice address
- 1005 S Washington St
Bainbridge, GA 39819-4465 - Phone
- (229) 248-2683
- NPI assigned
- Jul 31, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Georgia Pines Community Service Board
Practice addresses (Care Compare)
1005 Washington St
Bainbridge, GA 39819-4465
Phone (229) 225-4335
1102 Smith Ave
Thomasville, GA 31792-5740
Phone (912) 227-5468
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150825005525 | GA | Practitioner - Nurse Practitioner | 4486960168 | Reassigns benefits to 5 organizations |
| I20250812001655 | FL | Practitioner - Nurse Practitioner | 4486960168 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN207284 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southland Consolidated Emergency Services, LLC | Current |
Accepting new patients | |
| Southland Bainbridge Hospitalist Group, LLC | Current |
Accepting new patients | |
| Southland Emergency Medical Services, L.L.C | Current |
Accepting new patients | |
| Georgia Pines Community Service Board | Current |
Accepting new patients | |
| Operation Phoenix Men'S Health PLLC | Current |
Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
1834A Jaclif Ct
Tallahassee, FL 32308
Phone (888) 280-1988
1005 S Washington St
Bainbridge, GA 39819
Phone (229) 248-2683
1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100
1155 5th St SE
Cairo, GA 39828
Phone (229) 226-3060
90 E Stephens St
Camilla, GA 31730
Phone (229) 200-4950
4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527
1102 Smith Ave
Ste K
Thomasville, GA 31792
Phone (912) 227-5468
1102 Smith Ave
Thomasville, GA 31792
Phone (229) 225-5208
1102 Smith Ave
Ste H
Thomasville, GA 31792
Phone (229) 225-5208
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN207284 | GA | Yes |
Addresses
Primary practice location
1005 S Washington St
Bainbridge, GA 39819-4465
Mailing address
1401 S Main St
Moultrie, GA 31768-5811
Phone (229) 227-5510
Other providers in Bainbridge, GA
- Paula Adams
- Agape Serenity Home LLC
- Omar Al Haddad
- Amazing Body Transformations
- Kayla Anderson-Williams
- Archbold Health Services, Inc.
- Aurora Medical Care
- Mariah Lynne Avery
- Bainbridge Eye Care, LLC
- Bainbridge Healthcare, LLC
All providers in Bainbridge, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.