Organization Active NPI

Dr. Richard C. Anderson

  • Clinical Nurse Specialist
  • Cochran, GA
National Provider Identifier
1578766671
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
RN052713 Issued in GA
Legal business name
DR. RICHARD C. ANDERSON
Practice address
PO Box 494
Cochran, GA 31014-0494
Phone
(478) 934-4763
Fax
(478) 934-8080
NPI assigned
Jun 6, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Nan H. Anderson, R.N.
Title
Office Manager
Phone
(478) 934-4763

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 9790 GA
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X RN126365 NP GA
Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364S00000X RN052713 GA Primary

Addresses

Primary practice location

PO Box 494
Cochran, GA 31014-0494

Mailing address

PO Box 494
Cochran, GA 31014-0494
Phone (478) 934-4763

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1578766671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 494",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "310140494",
            "telephone_number": "478-934-4763",
            "fax_number": "478-934-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 494",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "310140494",
            "telephone_number": "478-934-4763",
            "fax_number": "478-934-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RICHARD C. ANDERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "NAN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "478-934-4763",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "9790",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN126365 NP",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": "GA",
            "license": "RN052713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cochran, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.