Active NPI
Christopher B Anderson, M.D.
- Family Medicine Physician
- Canton, GA
National Provider Identifier
1124160908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 054967
- Practice address
- 720 Transit Ave Ste 101
Canton, GA 30114-2571 - Phone
- (770) 720-7000
- Fax
- (770) 720-7055
- NPI assigned
- Feb 12, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 054967 | GA | Primary |
Addresses
Primary practice location
720 Transit Ave Ste 101
Canton, GA 30114-2571
Mailing address
720 Transit Ave Ste 101
Canton, GA 30114-2571
Phone (770) 720-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054967 | GA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124160908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 TRANSIT AVE STE 101",
"city": "CANTON",
"state": "GA",
"postal_code": "301142571",
"telephone_number": "770-720-7000",
"fax_number": "770-720-7055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 TRANSIT AVE STE 101",
"city": "CANTON",
"state": "GA",
"postal_code": "301142571",
"telephone_number": "770-720-7000",
"fax_number": "770-720-7055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "CHRISTOPHER",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "054967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, GA
- American Health Imaging of Georgia LLC (American Health Imaging of Canton LLC)
- American Optical Services LLC (The Eye Gallery-Canton)
- Neha Amin, D.O.
- Shirish Amrutia, M.D.
- Amw Enterprises LLC (Comfort Keepers #559)
- Evan Anderson
- Michael George Anderson, MD
- Stephanie Heaton Anderson, PNP, DNP, RNCS
- Tristan Hope Anderson, BCBA
- Emily Patricia Andreano
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.