Tamara Elizabeth Anderson, NP
Individual provider Active NPI Family Nurse Practitioner · Colquitt, GA
NPI 1083212898 · NPPES record last updated Oct 20, 2020
Key facts
- NPI
- 1083212898
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN225853 (GA)
- Practice address
- 209 N. Cuthbert Street
Colquitt, GA 39837-3518 - Phone
- (229) 758-3385
- Fax
- (229) 758-2668
- NPI assigned
- Oct 14, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Hospital Authority of Miller County
Practice addresses (Care Compare)
PO Box
Suite 7
Colquitt, GA 39837
Hospital & facility affiliations
- Miller County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- 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 |
|---|---|---|---|---|
| I20201208000284 | GA | Practitioner - Nurse Practitioner | 5092127548 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN225853 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Hospital Authority of Miller County | Current | Accepting new patients | |
| The Hospital Authority of Miller County | Current | Accepting new patients | |
| The Hospital Authority of Miller County | Current | Accepting new patients |
Locations
209 N Cuthbert St
Colquitt, GA 39837
Phone (229) 758-3385
208 N Cuthbert St
Colquitt, GA 39837
Phone (229) 758-3304
302 Grace St
Colquitt, GA 39837
Phone (229) 758-5932
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN225853 | GA | Yes |
Addresses
Primary practice location
209 N. Cuthbert Street
Colquitt, GA 39837-3518
Mailing address
209 N. Cuthbert Street
Colquitt, GA 39837-3518
Phone (229) 758-3385
Other providers in Colquitt, GA
- Sabrina Nicole Anderson
- Clint J Anthony
- Susan Michelle Askew
- Victoria Elizabeth Askew
- Luther Dwight Baker
- Elnaz Balashi
All providers in Colquitt, 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 Oct 20, 2020. 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.