NPIMap

Individual provider Active NPI

John David Anderson, MD

  • Internal Medicine Physician
  • Valdosta, GA
National Provider Identifier
1316947484
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
GA021630 Issued in GA
Practice address
2704 N Oak St
BLDG O
Valdosta, GA 31602-1744
Phone
(229) 247-2350
Fax
(229) 247-6826
NPI assigned
Jul 29, 2005
Last updated
Dec 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X GA021630 GA Primary

Addresses

Primary practice location

2704 N Oak St
BLDG O
Valdosta, GA 31602-1744

Mailing address

2704 N Oak St
BLDG O
Valdosta, GA 31602-1744
Phone (229) 247-2350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070726000417 GA Practitioner - Internal MedicinePractitioner - Hospitalist 0345341921 Reassigns benefits to 3 organizations
Practice locations: Valdosta, GA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Emory University School of Medicine, 1979
Medicare assignment
May accept Medicare assignment
Group practices
South Georgia Medical Center IncGroup PAC ID 1052764677, 58 clinicians
Apogee Medical Group GeorgiaGroup PAC ID 4587676945, 122 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

2501 N Patterson St
Valdosta, GA 31602-1735

2600 Compass Rd
Glenview, IL 60026-8001

2704 N Oak St
BLDG O
Valdosta, GA 31602-1793
Phone (229) 247-2350

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.1 of 100Reported as individual
Quality
98.19
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.29 of 100Reported as group
Quality
70.79
Improvement activities
40
Cost
81.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
GA021630GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of Valdosta and Lowndes County Georgia Current Accepting new patients
South Georgia Medical Center Inc CurrentSince Jun 1, 2024 Accepting new patients
South Georgia Medical Center Inc CurrentSince Jun 1, 2024 Accepting new patients
Hospital Authority of Valdosta and Lowndes County Georgia CurrentSince May 12, 2019 Accepting new patients
Hospital Authority of Valdosta and Lowndes County Georgia Current Accepting new patients
Hospital Authority of Valdosta and Lowndes County, Georgia CurrentSince May 12, 2019 Accepting new patients
Apogee Medical Group, Georgia, Inc. Internal Medicine CurrentSince Oct 20, 2016 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350

601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000

Interoperability endpoints

  • Direct secure messaging: jdanderson@johndandersonmd.ssdirect.aprima.com

Organizations & group practices 9

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1316947484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 N OAK ST",
            "address_2": "BLDG O",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021744",
            "telephone_number": "229-247-2350",
            "fax_number": "229-247-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 N OAK ST",
            "address_2": "BLDG O",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021744",
            "telephone_number": "229-247-2350",
            "fax_number": "229-247-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "GA021630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.