Madelene Anderson
Individual provider Active NPI Physician Assistant · Cumming, GA
NPI 1265255178 · NPPES record last updated Nov 7, 2024
Key facts
- NPI
- 1265255178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 6115 Autry Mill Rd
Cumming, GA 30028-8522 - Phone
- (678) 634-3780
- NPI assigned
- Nov 7, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
6115 Autry Mill Rd
Cumming, GA 30028-8522
Mailing address
6115 Autry Mill Rd
Cumming, GA 30028-8522
Phone (678) 634-3780
Other providers in Cumming, GA
- Sanaa Mahmoud Anbarserri
- Anchored Alliance Counseling and Consulting, LLC
- Amy Alisa Anderson
- Deanna Anderson
- Jennifer L Anderson
- Mark D Anderson
- Nancy A Anderson
- Sally Anderson
- Scott E Anderson
- Melinda Danielle Andre
All providers in Cumming, GA · Physician Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2024. 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.