John L. Anderson, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

022207 Issued in GA

Practice address

1800 Water PL SE
Suite 220
Atlanta, GA 30339-2061

Phone

(770) 850-8918

Fax

(770) 850-1628

NPI assigned

Sep 26, 2006

Last updated

Aug 27, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Emory University School of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest Cardiovascular Associates, S.C.

  • Cardiovascular Disease Physician
  • Arlington Heights, IL
  • NPI 1760522924
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1972604270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 WATER PL SE",
            "address_2": "SUITE 220",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392064",
            "telephone_number": "770-850-8918",
            "fax_number": "770-850-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 WATER PL SE",
            "address_2": "SUITE 220",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392061",
            "telephone_number": "770-850-8918",
            "fax_number": "770-850-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JOHN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "022207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ida M Anderson, CRNA
• Ingrid Anderson, DPT, PT, OCS
• Isleigh Anderson
• Jacob Anderson, DC
• Jeannette Renee Anderson, PT
• Judith Lauren Anderson, NP
• Kadeem Anderson
• Kareem Kevin Anderson, LCSW
• Katelyn Elizabeth Anderson
• Katherine Anderson, ATC, LAT

• Psychiatry Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.