Individual provider Active NPI

Georgina Evelyn Anderson

  • Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1356956403
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11008198 Issued in 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
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.65 of 100Reported as group
Quality
66.27
Promoting interoperability
100
Improvement activities
40
Cost
72.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11008198FLMDNurse Practitioner
11008198FLMDFamily Nurse Practitioner

Practice roles

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

Organizations & group practices 4

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 4

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": "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

Sources for this page

Verify at the official NPI Registry.