Dylan Anderson, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Augusta, GA
NPI 1174209134 · NPPES record last updated Jun 26, 2023
Key facts
- NPI
- 1174209134
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 15119 (GA)
- Practice address
- 1120 15TH St Ba 8412
Augusta, GA 30912 - Phone
- (706) 721-8623
- NPI assigned
- Jun 26, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 15119 | GA | Yes |
Addresses
Primary practice location
1120 15TH St Ba 8412
Augusta, GA 30912
Mailing address
1120 15TH St Ba 8412
Augusta, GA 30912
Other providers in Augusta, GA
- Brian Keith Anderson
- Carthal Jonathan Anderson
- Casie Brooke Anderson
- Catrina Anderson
- Christine Gayle Anderson
- Holly Holeman Anderson
- Jacqueline Anderson
- Jennifer Rose Anderson
- Jina Kiele Anderson
- John Christopher Anderson
All providers in Augusta, GA · Obstetrics & Gynecology 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, 2023. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.