Michael John Anderson, MD
Individual provider Active NPI Psychiatry Physician · Macon, GA
NPI 1487217519 · NPPES record last updated Jan 8, 2026
Key facts
- NPI
- 1487217519
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 10817 (GA)
- Practice address
- 6055 Lakeside Commons Dr Ste 320
Macon, GA 31210-5791 - Phone
- (478) 238-9344
- Fax
- (478) 225-0566
- NPI assigned
- Apr 15, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Medical College of Georgia School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Personal Recovery Network LLC
Practice addresses (Care Compare)
6055 Lakeside Commons Dr
Suite 320
Macon, GA 31210-5791
Phone (478) 238-9344
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250506003028 | GA | Practitioner - Psychiatry | 0840527263 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Recovery Network LLC | Psychiatry | Current |
Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
6055 Lakeside Commons Dr
Ste 320
Macon, GA 31210
Phone (478) 238-9344
250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685
Interoperability endpoints
- lifestancehealth.michaelanderson@124220.advancedmd-direct.com
- michael.anderson.p1@direct.accordiahealth.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 10817 | GA | Yes |
Addresses
Primary practice location
6055 Lakeside Commons Dr Ste 320
Macon, GA 31210-5791
Mailing address
4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Other providers in Macon, GA
- Amos Anderson
- Courtney Anderson
- Jay Michael Anderson
- Kaitlin Anderson
- Mable Anderson
- Nancy Anderson
- Paul Anderson
- Susan Jane Anderson
- Victoria Woods Anderson
- Vonteaic Lachelle Anderson
All providers in Macon, GA · Psychiatry Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.