Heather Brooke Anderson
Individual provider Active NPI Family Nurse Practitioner · Camilla, GA
NPI 1184375800 · NPPES record last updated Jun 28, 2024
Key facts
- NPI
- 1184375800
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN242510 (GA)
- Practice address
- 725 US Highway 19 S
Camilla, GA 31730-6396 - Phone
- (229) 336-5208
- NPI assigned
- Jan 13, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Phoebe Physician Group Inc
Practice addresses (Care Compare)
725 US Hwy 19
Camilla, GA 31730
Phone (229) 336-5208
Hospital & facility affiliations
- Phoebe Putney Memorial Hospital
- Archbold Mitchell
- 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 |
|---|---|---|---|---|
| I20220518001976 | GA | Practitioner - Nurse Practitioner | 8123405891 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoebe Physician Group, Inc | Current |
Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
725 US Highway 19 S
Camilla, GA 31730
Phone (229) 336-5208
Interoperability endpoints
- heather.anderson@phoebehealth.gadirect.net
- heather.anderson.1@8478.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN242510 | GA | Yes |
Addresses
Primary practice location
725 US Highway 19 S
Camilla, GA 31730-6396
Mailing address
725 US Highway 19 S
Camilla, GA 31730-6396
Phone (229) 336-5208
Other providers in Camilla, GA
- Elma Abrams
- Ashley Abt
- Albany Area Primary Heath Care, Inc.
- Alicia Anderson
- Taylor McKenzie Andre'
- Richard Barfield
- Tuwana Barthelemy
- Lexington Maund Belyeu
- Montreal Biggins Sr.
All providers in Camilla, 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 Jun 28, 2024. 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.