Active NPI
Christopher J Anderson, NP
- Dermatology Physician
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- RN105862
- Practice address
- 900 Mohawk St Ste E
Savannah, GA 31419-1768 - Phone
- (912) 925-0067
- Fax
- (912) 927-0267
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | APN2728 | SC | |
| Pediatric Dermatology Physician | 207NP0225X | APN2728 | SC | |
| Pediatric Dermatology Physician | 207NP0225X | RN105862 | GA | |
| Procedural Dermatology Physician | 207NS0135X | APN2728 | SC | |
| Procedural Dermatology Physician | 207NS0135X | RN105862 | GA | |
| Adult Health Nurse Practitioner | 363LA2200X | RN105862 | GA | |
| Adult Health Nurse Practitioner | 363LA2200X | APN2728 | SC | |
| Dermatology Physician | 207N00000X | RN105862 | GA | Primary |
Addresses
Primary practice location
900 Mohawk St Ste E
Savannah, GA 31419-1768
Mailing address
900 Mohawk St Ste E
Savannah, GA 31419-1768
Phone (912) 925-0067
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 837663219B | Medicaid | GA | |
| 837663219A | Medicaid | GA | |
| 837663219C | Medicaid | GA | |
| NP0945 | Medicaid | SC | |
| 837663219D | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | canderson@gscc.encitedirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
176 Dermis Ave
Hardeeville, SC 29927-4161
Phone (843) 208-2055
900 Mohawk St
Suite E
Savannah, GA 31419-1768
Phone (912) 925-0067
900 Mohawk St E
Savannah, GA 31419-1768
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 40.13 of 100
- Quality
- 29.56
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2728 | SC | MD | Chiropractor |
| APN2728 | SC | MD | Pediatric Dermatology Physician |
| RN105862 | GA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sidney P Smith MD PC | Dermatology | Current | Accepting new patients |
Locations
19 Brobston St
Ste B
Baxley, GA 31513
6677 Highway 67
Brooklet, GA 30415
Phone (912) 350-2700
3215 Shrine Rd
Ste 2
Brunswick, GA 31520
Phone (912) 262-0042
800 Towne Park Dr
Ste 400
Rincon, GA 31326
Phone (912) 826-1220
900 Mohawk St
Savannah, GA 31419
Phone (912) 920-2090
900 Mohawk St
Ste E
Savannah, GA 31419
1504 Tebeau St
Waycross, GA 31501
176 Dermis Ave
Hardeeville, SC 29927
Phone (843) 208-2055
Interoperability endpoints
- canderson@gscc.encitedirect.com
Organizations & group practices 1
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 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1063406684
-
- General Acute Care Hospital
- Beaufort, SC
- NPI 1366436073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1376651026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 MOHAWK ST STE E",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314191768",
"telephone_number": "912-925-0067",
"fax_number": "912-927-0267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 MOHAWK ST STE E",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314191768",
"telephone_number": "912-925-0067",
"fax_number": "912-927-0267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "CHRISTOPHER",
"middle_name": "J",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "SC",
"license": "APN2728",
"primary": false
},
{
"code": "207NP0225X",
"taxonomy_group": "",
"desc": "Dermatology, Pediatric Dermatology",
"state": "SC",
"license": "APN2728",
"primary": false
},
{
"code": "207NP0225X",
"taxonomy_group": "",
"desc": "Dermatology, Pediatric Dermatology",
"state": "GA",
"license": "RN105862",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "SC",
"license": "APN2728",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "GA",
"license": "RN105862",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "RN105862",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "SC",
"license": "APN2728",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "GA",
"license": "RN105862",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "837663219B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "837663219A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "837663219C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP0945",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "837663219D",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "canderson@gscc.encitedirect.com",
"affiliation": "N",
"address_1": "900 Mohawk St Ste E",
"city": "Savannah",
"state": "GA",
"country_code": "US",
"postal_code": "314191768",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.