Individual provider Active NPI

Andrea Logan Bossie, MS, RN, CNN, FNP-C

  • Family Nurse Practitioner
  • Carrollton, GA
National Provider Identifier
1033115142
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP112876 Issued in GA
Practice address
1480 S Highway 27 Ste B
Carrollton, GA 30117-8901
Phone
(770) 812-5900
Fax
(770) 812-5584
NPI assigned
Jun 23, 2005
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP112876 GA Primary

Addresses

Primary practice location

1480 S Highway 27 Ste B
Carrollton, GA 30117-8901

Mailing address

1480 S Highway 27 Ste B
Carrollton, GA 30117-8901
Phone (770) 812-5900

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
I20040527000600 GA Practitioner - Nurse Practitioner 5496736217 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Georgia Pain and Wellness CenterGroup PAC ID 8527200864, 53 clinicians

Practice addresses (Care Compare)

455 Philip Blvd
Suite 140
Lawrenceville, GA 30046-8768
Phone (770) 962-3642

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN-NP112876GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Pain and Wellness Center CurrentSince Jul 7, 2025 Accepting new patients
Georgia Pain and Wellness Center CurrentSince Jul 7, 2025 Accepting new patients
Piedmont Providers LLC CurrentSince Sep 19, 2006 Accepting new patients
Cowry Medical Group, LLC CurrentSince Mar 3, 2025 Accepting new patients
Tanner Bridge Clinic Inc CurrentSince Sep 14, 2026 Accepting new patients
TMC Immediate Care, Inc PastSince Sep 14, 2026 Accepting new patients

Locations

1720 Mars Hill Rd NW
Ste 120380
Acworth, GA 30101

4450 Calibre Xing NW
Ste 1126
Acworth, GA 30101
Phone (470) 227-8130

1968 Peachtree Rd NW
Bldg 77
Atlanta, GA 30309
Phone (404) 605-4602

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

1480 S Highway 27
Ste B
Carrollton, GA 30117
Phone (770) 812-5900

8570 Hospital Dr
Douglasville, GA 30134
Phone (470) 227-8130

455 Philip Blvd
Ste 140
Lawrenceville, GA 30046
Phone (787) 618-5889

870 Crestmark Dr
Ste 201
Lithia Springs, GA 30122
Phone (770) 739-5242

39C Oak Hill Ct
Ste 101
Newnan, GA 30265

101 Quartz Dr
Ste 101
Villa Rica, GA 30180
Phone (770) 836-9445

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1033115142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 S HIGHWAY 27 STE B",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301178901",
            "telephone_number": "770-812-5900",
            "fax_number": "770-812-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 S HIGHWAY 27 STE B",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301178901",
            "telephone_number": "770-812-5900",
            "fax_number": "770-812-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSSIE",
        "first_name": "ANDREA",
        "middle_name": "LOGAN",
        "name_prefix": "Mrs.",
        "credential": "MS, RN, CNN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP112876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.