Augusta Leana Anderson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11015260 Issued in FL

Practice address

3120 Southride LN
Bonifay, FL 32425-3325

Phone

(850) 547-4440

Fax

(850) 547-4441

NPI assigned

Apr 6, 2020

Last updated

Sep 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctors Memorial Hospital Hospital, Bonifay, FL, CCN 101307

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Florida Surgeons, PA

  • Surgery Physician
  • Jacksonville, FL
  • NPI 1912953290
  Medicare reassignment Care Compare group
• Hawkins Family Medicine LLC

  • Family Medicine Physician
  • Bonifay, FL
  • NPI 1952680464
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Holmes County Hospital Corp

  dba Doctors Memorial Hospital

  • Critical Access Hospital
  • Bonifay, FL
  • NPI 1366431702
  Care Compare affiliation

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1639708209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 SOUTHRIDE LN",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "324253325",
            "telephone_number": "850-547-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 SOUTHRIDE LN",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "324253325",
            "telephone_number": "850-547-4440",
            "fax_number": "850-547-4441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1938 Gully Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Bonifay",
            "state": "FL",
            "postal_code": "324259179",
            "country_code": "US",
            "telephone_number": "850-768-9429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "AUGUSTA",
        "middle_name": "LEANA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11015260",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9459929",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH",
            "identifier": "APRN11015260",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clint M Adams, APRN
• Ahmad Tariq Ismail
• All Ages Pediatrics PA
• Mary M Alsobrooks, ADULT CASE MANAGER
• Muhammad Amin, M.D.
• Muhammad Anees, PA
• Angel Vision Bonifay LLC
• Angelcare With Vision
• Bailey Family Practice
• Leisa H Bailey, M.D.

• Family Nurse Practitioner in Bonifay, FL
• Providers in Bonifay, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.