NPIMap

Georgina Evelyn Anderson

Individual provider Active NPI Nurse Practitioner · Fort Lauderdale, FL

NPI 1356956403 · NPPES record last updated Jul 29, 2026

Key facts

NPI
1356956403
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
APRN11008198 (FL)
Practice address
3000 Bayview Dr Ste 100
Fort Lauderdale, FL 33306-1772
Phone
(954) 567-1332
Fax
(561) 537-2721
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 12

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.

Hospital & facility affiliations 4

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tenet Florida Physician Services II, LLC (99 clinicians)

Practice addresses (Care Compare)

3000 Bayview Dr
Suite 100
Fort Lauderdale, FL 33306-1772
Phone (954) 567-1332

Hospital & facility affiliations

  • Holy Cross Hospital Hospital · Ft Lauderdale, FL · CCN 100073

Merit-based Incentive Payment System (MIPS)

Final score
81.65 of 100 (group)
Quality
66.27
Promoting interoperability
100
Improvement activities
40
Cost
72.56

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210217000374 FL Practitioner - Nurse Practitioner 3375958754 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11008198FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services II, LLC Current
since Jan 1, 2021		 Accepting new patients
Tenet Florida Physician Services II, LLC Nurse Practitioner Current
since Jan 1, 2021		 Accepting new patients
Tenet Florida Physician Services, LLC Past Accepting new patients
Tenet Florida Physician Services LLC Past
since Aug 23, 2020		 Accepting new patients

Locations

9960 Central Park Blvd N
Ste 150A
Boca Raton, FL 33428
Phone (561) 394-8443

3000 Bayview Dr
#100
Fort Lauderdale, FL 33306
Phone (954) 567-1332

3000 Bayview Dr
Ft Lauderdale, FL 33306
Phone (954) 393-1708

3000 Bayview Dr
Ste 100
Ft Lauderdale, FL 33306
Phone (954) 567-1332

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608

Interoperability endpoints

  • Direct secure messaging: ganderson3318889@direct.trinity-health.org
  • Direct secure messaging: georgina.anderson.1@13023.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11008198 FL
Nurse Practitioner 363L00000X APRN11008198 FL Yes

Addresses

Primary practice location

3000 Bayview Dr Ste 100
Fort Lauderdale, FL 33306-1772

Mailing address

PO Box 20800
Belfast, ME 04915-4105
Phone (888) 402-7256

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 29, 2026.

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1356956403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20800",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154105",
            "telephone_number": "888-402-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BAYVIEW DR STE 100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061772",
            "telephone_number": "954-567-1332",
            "fax_number": "561-537-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "GEORGINA",
        "middle_name": "EVELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11008198",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11008198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

All providers in Fort Lauderdale, FL · Nurse Practitioner in Florida

Sources for this page

Verify at the official NPI Registry.