John J. Anderson, D.O.
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Fort Eisenhower, GA
NPI 1134325533 · NPPES record last updated Mar 12, 2025
Key facts
- NPI
- 1134325533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 0102202043 (VA)
- Practice address
- 300 W Hospital Rd
Fort Eisenhower, GA 30905-5741 - Phone
- (706) 787-8297
- NPI assigned
- Jun 22, 2007
- Sex
- Male
- Sole proprietor
- No
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102202043 | VA | MD | Physical Medicine & Rehabilitation Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 0102202043 | VA | Yes |
Addresses
Primary practice location
300 W Hospital Rd
Fort Eisenhower, GA 30905-5741
Mailing address
300 W Hospital Rd
Fort Eisenhower, GA 30905-5741
Phone (706) 787-8322
Other providers in Fort Eisenhower, GA
- Hannah Gabriella Gladys Agnew
- Troy Wayne Akers
- Michael John Allen
- AMC Eisenhower
- Tyler Anderegg
- Ronald David Anderson
- Andrea Apple
- Philip A Aubrey
- Caleb Aultman
- Jesica Baker
All providers in Fort Eisenhower, GA · Physical Medicine & Rehabilitation 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 Mar 12, 2025. 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.