Tammy Maddox Anderson, NURSE PRACTITIONER

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN156536 Issued in GA

Practice address

Eisenhower Army Medical Center
300 E Hospital Rd
Fort Gordon, GA 30905-8202

Phone

(706) 787-5616

NPI assigned

Dec 15, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Access NetworkGroup PAC ID 8224333026, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IEDHBD
• FHIR API: https://api.platform.athenahealth.com/221/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.

• Community Access Network

  • Federally Qualified Health Center (FQHC)
  • Lynchburg, VA
  • NPI 1780058628
  Medicare reassignment Care Compare group NPD
• Evolve Managed Care Solutions

  • Psychiatry Physician
  • Augusta, GA
  • NPI 1336843499
  Medicare reassignment NPD
• Centra Medical Group, LLC

  • Family Medicine Physician
  • Lynchburg, VA
  • NPI 1649228966
  Medicare reassignment NPD

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1588029763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EISENHOWER ARMY MEDICAL CENTER",
            "address_2": "300 E HOSPITAL RD",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "309058202",
            "telephone_number": "706-787-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EISENHOWER ARMY MEDICAL CENTER",
            "address_2": "300 E HOSPITAL RD",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "309058202",
            "telephone_number": "706-787-5616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 5th St",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245042848",
            "country_code": "US",
            "telephone_number": "434-818-7880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADDOX ANDERSON",
        "first_name": "TAMMY",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-15",
        "last_updated": "2025-07-07",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN156536",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN156536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine Lobos, RDH
• Christopher Looney, M.D.
• Jorge Luis Lopez-Maldonado, LPN
• William Lopez, LCSW
• Joshua Curtis Lynch, LPN
• James G. Madison II, DMD
• Kathryn Vann Magill, OTR/L
• Zack Kalib Mahan, DDS
• Nicole Makepeace, DO
• Jennifer Lee Malonjao

• Psychiatric/Mental Health Nurse Practitioner in Fort Gordon, GA
• Providers in Fort Gordon, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.