Aneeta Anderson, FIRST ASSISTANT

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

4151 Praline CT
Marietta, GA 30066-2394

Phone

(770) 882-5276

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Aa Surgical LLC

  • Surgical Physician Assistant
  • Marietta, GA
  • NPI 1245078955
  NPD Authorized official
• Aaa Surgical Services LLC

  • Surgical Physician Assistant
  • Marietta, GA
  • NPI 1679942262
  NPD (past) Authorized official

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1508918475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 PRALINE CT",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662394",
            "telephone_number": "770-882-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 PRALINE CT",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662394",
            "telephone_number": "770-882-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANEETA",
        "name_prefix": "Mrs.",
        "credential": "FIRST ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2022-12-05",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherlyne O Anatole
• Anchor Chiropractic of Marietta
• Anchored Support Services LLC
• Kyaira Ancrum
• Chris S Andersen, M.D.
• Ansa Anderson, MD
• Ashlee Renea Anderson, PMHNP
• Brianne Hunter Anderson, MD
• Charles R Anderson, M.D.
• Christopher Dale Anderson, DC

• Surgical Physician Assistant in Marietta, GA
• Providers in Marietta, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.