Shauntile Anderson, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN270925 Issued in GA

Practice address

1007 Mary St
Waycross, GA 31503-3823

Phone

(912) 449-7111

Fax

(912) 449-7060

NPI assigned

Mar 22, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

At Home Palliative Care, LLC 6 clinicians

Christopher Dennis MD PLLC 72 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Christopher Dennis MD PLLC

  • Psychiatry Physician
  • Johns Creek, GA
  • NPI 1588090229

  GA

  Medicare reassignment Care Compare group NPD
• At Home Palliative Care, LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Jacksonville, FL
  • NPI 1790406148

  FL, GA

  Medicare reassignment Care Compare group NPD
• Ahmed Elsharkawi MD LLC

  • Nephrology Physician
  • Brunswick, GA
  • NPI 1184856494
  NPD
• Ahpc Health Incorporated

  • Primary Care Nurse Practitioner
  • Jacksonville, FL
  • NPI 1952279101
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1316640238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 MARY ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315033823",
            "telephone_number": "912-449-7111",
            "fax_number": "912-449-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 MARY ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315033823",
            "telephone_number": "912-449-7111",
            "fax_number": "912-449-7060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3455 Harris Rd",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315038960",
            "country_code": "US",
            "telephone_number": "912-449-7100",
            "fax_number": "912-449-7060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SHAUNTILE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN270925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Oncology Partners, P.a.
• American Oncology Partners, P.a.
• Evan Darwin Anderson
• Hannah Anderson, CCC-SLP
• Sharla Anderson, NP
• Anesthesia Physician Solutions of Georgia, LLC
• Ankle & Foot Associates, LLC
• Apex Health and Wellness LLC
• Applecare LLC
• Victor J Aranda, MD

• All providers in Waycross, GA
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.