Nathan Wallace Anderson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

T1634 Issued in TX

Practice address

2 Saint Marks PL Ste 110
La Grange, TX 78945-1255

Phone

(979) 968-8493

Fax

(979) 968-6388

NPI assigned

Aug 21, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Oregon Health Sciences University School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

McBroom Clinic PAGroup PAC ID 5890893119, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jol Healthcare Home health agency, Bastrop, TX, CCN 747913
• Columbus Community Hospital Hospital, Columbus, TX, CCN 450370
• Ascension Seton Smithville Hospital, Smithville, TX, CCN 671304

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19983/brand/1/csg/1/fhir/r4

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.

• McBroom Clinic PA

  • Family Medicine Physician
  • La Grange, TX
  • NPI 1114088093
  Medicare reassignment Care Compare group NPD
• LGFM PLLC

  • Family Medicine Physician
  • La Grange, TX
  • NPI 1871153775
  Medicare reassignment NPD
• Central Texas Community Health Centers

  dba CommUnityCare

  • Family Medicine Physician
  • Austin, TX
  • NPI 1427882091
  Medicare reassignment

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

• Ascension Seton

  dba Ascension Seton Smithville

  • Critical Access Hospital
  • Smithville, TX
  • NPI 1619726064
  Care Compare affiliation
• Columbus Community Hospital

  • Rural Acute Care Hospital
  • Columbus, TX
  • NPI 1740238641
  Care Compare affiliation
• Jol Home Health Temple LLC

  dba JOL Healthcare

  • Home Health Agency
  • Bastrop, TX
  • NPI 1083171573
  Care Compare affiliation

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1386078715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SAINT MARKS PL STE 110",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789451255",
            "telephone_number": "979-968-8493",
            "fax_number": "979-968-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SAINT MARKS PL STE 110",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789451255",
            "telephone_number": "979-968-8493",
            "fax_number": "979-968-6388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1253 N Von Minden St",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "TX",
            "postal_code": "789451262",
            "country_code": "US",
            "telephone_number": "979-968-8493",
            "fax_number": "979-968-6388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "598 Cactus St",
            "address_purpose": "LOCATION",
            "city": "Giddings",
            "state": "TX",
            "postal_code": "789421437",
            "country_code": "US",
            "telephone_number": "979-542-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "NATHAN",
        "middle_name": "WALLACE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-21",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60866922",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T1634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "427582802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386078715",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "427582801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guy Leroy Abbey, CRNA
• Air Evac EMS Inc (Air Evac Lifeteam)
• Charles W Anderson, MD
• Margaret Claire Anderson, LMT., MLD/CDT
• Athome Community Services, LLC
• Babcock Anesthesia Providers PC
• Kent K Babcock, CRNA
• Baca Anesthesia PC
• William H Bailey, MD

• Family Medicine Physician in La Grange, TX
• Providers in La Grange, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.