Angelle Anderson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

U3461 Issued in TX

Practice address

6300 Samuell Blvd Ste 120
Dallas, TX 75228-7100

Phone

(214) 381-1910

Fax

(214) 381-2868

NPI assigned

Jun 13, 2019

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 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

Specialty

Family Practice

Education

Meharry Medical College School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Grace Southern Medical Clinic PLLCGroup PAC ID 0840504197, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Grace Southern Medical Clinic, PLLC

  • Primary Care Clinic/Center
  • Dallas, TX
  • NPI 1821486358
  Medicare reassignment Care Compare group NPD
• Union Medical Center PLLC

  • Family Medicine Physician
  • Garland, TX
  • NPI 1083453708
  Medicare reassignment NPD
• Dallas County Mental Health & Mental Retardation Center

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1023239886
  NPD (past)

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1801456728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 SAMUELL BLVD STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752287100",
            "telephone_number": "214-381-1910",
            "fax_number": "214-381-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 SAMUELL BLVD STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752287100",
            "telephone_number": "214-381-1910",
            "fax_number": "214-381-2868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1605 N Garland Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750409418",
            "country_code": "US",
            "telephone_number": "469-609-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2040 N Belt Line Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751505802",
            "country_code": "US",
            "telephone_number": "214-381-1910",
            "fax_number": "214-381-2868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANGELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U3461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allan L Anderson, M.D.
• Amanda Christine Anderson, PT, DPT, MS, OCS
• Amber Anderson
• Amy Stevens Anderson, M.D.
• Andrew S Anderson, PHARMD, RPH, AAHIVP
• Ashanti Anderson
• Ashlyn Elizabeth Anderson
• Austin Anderson, DDS
• Brittnie Ayanna Nicole Anderson, PHARMD
• Bryana Brooks Anderson, FNP-C

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.