Angela Renee Addison, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Thomasville, GA
NPI 1093677569 · NPPES record last updated Sep 13, 2026
Key facts
- NPI
- 1093677569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN-NP228718 (GA)
- Practice address
- 919 S Broad St
Thomasville, GA 31792-6114 - Phone
- (229) 584-5400
- NPI assigned
- Dec 2, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
900 Cairo Rd
Thomasville, GA 31792-4255
Hospital & facility affiliations
- Archbold Memorial 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 |
|---|---|---|---|---|
| I20260107003793 | GA | Practitioner - Nurse Practitioner | 2466938675 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-NP228718 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Archbold Medical Group, Inc. | Current |
Accepting new patients | |
| Archbold Medical Group, Inc. | Current |
Accepting new patients |
Locations
919 S Broad St
Thomasville, GA 31792
Phone (229) 584-5400
100 Mimosa Dr
Thomasville, GA 31792
Phone (229) 226-9141
915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11050543 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN-NP228718 | GA | Yes |
Addresses
Primary practice location
919 S Broad St
Thomasville, GA 31792-6114
Mailing address
1819 W Tennessee St
Tallahassee, FL 32304-3356
Other practice location 1
1819 W Tennessee St
Tallahassee, FL 32304-3356
Phone (866) 389-2727
Other providers in Thomasville, GA
- Abraham Infectious Disease Associates LLC
- Accurate Prescription Services, LLC
- Accurate Prescription Services, LLC
- Robert Henry Ackerman
- Tomesha Adams
- Adk Thomasville Operator, LLC
- Advanced Medical Group LLC
- Aesthetic Laser & Surgery Facility
- Aesthetic Plastic Surgery Center
- Aesthetica Surgery Center, LLC
All providers in Thomasville, 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 Sep 13, 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.