Deborah Yvette Anderson, MD
Individual provider Active NPI Psychiatry Physician · Athens, GA
NPI 1104004803 · NPPES record last updated Jun 26, 2014
Key facts
- NPI
- 1104004803
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 39276 (GA)
- Practice address
- 55 Carlton St
Athens, GA 30602-1755 - Phone
- (770) 241-5392
- NPI assigned
- Feb 5, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39276 | GA | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 39276 | GA | Yes |
Addresses
Primary practice location
55 Carlton St
Athens, GA 30602-1755
Mailing address
55 Carlton St
Athens, GA 30602-1755
Phone (770) 241-5392
Other providers in Athens, GA
- Amelito Manuel Logronio Andaya
- Adrienne Marie Anderson
- Andy Matthew Anderson
- Ashley Anderson
- Courtney Lynn Anderson
- Emily Mary Anderson
- Kathryn Rose Anderson
- Letitia Belinda Anderson
- Marie B Anderson
- Pamela Leigh Anderson
All providers in Athens, GA · Psychiatry Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.