Larry W Anderson, DO, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

020648 Issued in GA

Legal business name

LARRY W ANDERSON, DO, LLC

Doing business as

Anderson Family Medicine

Practice address

6002 Highway 53 E
Dawsonville, GA 30534-6227

Phone

(706) 265-1335

Fax

(706) 265-2296

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Larry W Anderson, DO

Title

Managing Member

Phone

(706) 265-1335

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Anderson Family Medicine Doing business as

Locations

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1477612414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6002 HIGHWAY 53 E",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346227",
            "telephone_number": "706-265-1335",
            "fax_number": "706-265-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 HIGHWAY 53 E",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346227",
            "telephone_number": "706-265-1335",
            "fax_number": "706-265-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY W ANDERSON, DO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "706-265-1335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "020648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY",
            "identifier": "GRP7339",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GRP #",
            "identifier": "DG1560",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Towela Nancy Labianca, RN
• Leena Kulkarni Lake, M.D.
• Leslie Rhiannon Langham, LPC
• Lanier Dental at Dawsonville, LLC
• Lanier Home Care, LLC (Visiting Angels of Lake Lanier)
• Lawrence F. Kulish PC
• Tammie G Lee, M.D.
• Legacy Healthcare Services, Inc.
• Stephen Vincent Leo, OTR, CHT
• Ashley Leonard, CD

• Family Medicine Physician in Dawsonville, GA
• Providers in Dawsonville, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.