Kaitlin Anderson, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Macon, GA
NPI 1861205486 · NPPES record last updated Jan 28, 2025
Key facts
- NPI
- 1861205486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 777 Hemlock St
Macon, GA 31201-2102 - Phone
- (478) 633-1000
- NPI assigned
- Jan 28, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251229000204 | SC | Order and Referring Only - Pediatric Medicine |
2860988961 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
777 Hemlock St
Macon, GA 31201-2102
Mailing address
777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1000
Other providers in Macon, GA
- Anchored & Adored Gardens LLC
- Anchored Counseling & Consulting, LLC
- Amos Anderson
- Courtney Anderson
- Jay Michael Anderson
- Mable Anderson
- Michael John Anderson
- Nancy Anderson
- Paul Anderson
- Susan Jane Anderson
All providers in Macon, GA · Student in an Organized Health Care Education/Training Program in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.