Individual provider Active NPI

Charles G Anderson Jr., MD

  • Obstetrics & Gynecology Physician
  • Sweetwater, TX
National Provider Identifier
1720197635
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G2894 Issued in TX
Practice address
301 Jenny George LN Ste E
Sweetwater, TX 79556-7145
Phone
(325) 704-5200
Fax
(325) 704-5202
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G2894 TX Primary

Addresses

Primary practice location

301 Jenny George LN Ste E
Sweetwater, TX 79556-7145

Mailing address

301 Jenny George LN Ste E
Sweetwater, TX 79556-7145
Phone (325) 704-5200

Other identifiers 1

IdentifierTypeStateIssuer
114447904MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100211000595 TX Practitioner - Obstetrics/Gynecology 1759424823 Practice locations: Sweetwater, TX

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Baylor College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 Jenny George LN
Suite E
Sweetwater, TX 79556-7145
Phone (325) 704-5200

301 Jenny George LN E
Sweetwater, TX 79556-7145

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G2894TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery Medical Network Sweetwater LLC Obstetrics & Gynecology CurrentSince Nov 24, 2025 Accepting new patients
Rolling Plains Memorial Hospital Past Accepting new patients

Locations

200 E Arizona Ave
Sweetwater, TX 79556
Phone (325) 235-1701

301 Jenny George Ln
Ste E
Sweetwater, TX 79556
Phone (325) 235-1942

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1720197635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 JENNY GEORGE LN STE E",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795567145",
            "telephone_number": "325-704-5200",
            "fax_number": "325-704-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 JENNY GEORGE LN STE E",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795567145",
            "telephone_number": "325-704-5200",
            "fax_number": "325-704-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CHARLES",
        "middle_name": "G",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "G2894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114447904",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweetwater, TX

Sources for this page

Verify at the official NPI Registry.