Individual provider Active NPI

Anthony L. Hutchison, MSN, ACNP, RNFA

  • Acute Care Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1669538245
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN181652 NP Issued in GA
Practice address
3101 Rio Montana Dr
Marietta, GA 30066-4049
Phone
(404) 790-5925
Fax
(404) 851-2212
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X RN181652NP GA
Acute Care Nurse Practitioner 363LA2100X 1-088939 AL
Acute Care Nurse Practitioner 363LA2100X RN181652 NP GA Primary

Addresses

Primary practice location

3101 Rio Montana Dr
Marietta, GA 30066-4049

Mailing address

3101 Rio Montana Dr
Marietta, GA 30066-4049
Phone (404) 790-5925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20080311000035 GA Practitioner - Nurse Practitioner 6406931849 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Mso LLCGroup PAC ID 3173041639, 29 clinicians
Anodyne Pain Group of North Georgia LLCGroup PAC ID 9436530581, 3 clinicians

Practice addresses (Care Compare)

1640 Powers Ferry Rd SE
BLDG 15
Marietta, GA 30067-5491
Phone (212) 734-6621

3900 Mary Eliza Trce NW
Marietta, GA 30064-1077
Phone (817) 688-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN181652NPGAMDHospice and Palliative Medicine (Family Medicine) Physician
1-088939ALMDAcute Care Nurse Practitioner
RN181652 NPGAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anodyne Pain Group of North Georgia LLC CurrentSince Oct 11, 2022 Accepting new patients
Anodyne Pain Group of North Georgia LLC PastSince Jul 10, 2022 Accepting new patients
Midtown Surgical Associates, Inc Past Accepting new patients

Locations

366 N Main St
Ste 100
Alpharetta, GA 30009
Phone (770) 619-5801

3900 Mary Eliza Trce NW
#200
Marietta, GA 30064
Phone (817) 688-9000

3900 Mary Eliza Trce NW
Ste 110
Marietta, GA 30064

3900 Mary Eliza Trce NW
Marietta, GA 30064
Phone (817) 688-9000

3900 Mary Eliza Trce NW
Ste 200MAR
Marietta, GA 30064

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1669538245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 RIO MONTANA DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664049",
            "telephone_number": "404-790-5925",
            "fax_number": "404-851-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 RIO MONTANA DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664049",
            "telephone_number": "404-790-5925",
            "fax_number": "404-851-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHISON",
        "first_name": "ANTHONY",
        "middle_name": "L.",
        "credential": "MSN, ACNP, RNFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "GA",
            "license": "RN181652NP",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-088939",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN181652 NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.