Alexa Rae Anderson, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN245790 Issued in GA

Practice address

114 Harmony Xing Ste 1
Eatonton, GA 31024-9546

Phone

(706) 484-0884

NPI assigned

Nov 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CGFHAA

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.

• Lake Oconee Partners in Healthcare, LLC

  • Family Medicine Physician
  • Eatonton, GA
  • NPI 1073829404
  Medicare reassignment NPD
• Southeastern Surgery & Sleep Apnea Treatment Ctr. LLC

  • General Practice Physician
  • Macon, GA
  • NPI 1902935281
  Medicare reassignment NPD
• Lake Oconee Medical Associates LLC

  • Adult Medicine Physician
  • Eatonton, GA
  • NPI 1548017031
  NPD
• TMB Medical Associates, P.C.

  • Internal Medicine Physician
  • Watkinsville, GA
  • NPI 1649413055
  NPD (past)

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1730846155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HARBOUR POINT NW",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "31061",
            "telephone_number": "706-431-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 HARMONY XING STE 1",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310249546",
            "telephone_number": "706-484-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ALEXA",
        "middle_name": "RAE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN245790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Audiology & Hearing Care
• Ajay Kumar MD LLC
• Muneer Al-Hakim, M.D.
• Casey Allen-Hayes, PHARMD
• American Medical Healthcare LLC
• Apalachee Medical Supply & Mobility
• Jessica Arp, LPC
• Assisting Angels Home Care, LLC
• Athens Kidney Center P.C.
• Authentic Healthcare

• Nurse Practitioner in Eatonton, GA
• Providers in Eatonton, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.