Individual provider Active NPI

Anna Mirinda Childers, FNP-C

  • Family Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1972946523
Registry record updated Aug 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN180217 Issued in GA
Practice address
2300 Manchester Expy Ste H202
Columbus, GA 31904-6803
Phone
(706) 257-7680
Fax
(706) 257-7681
NPI assigned
Apr 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN180217 GA Primary

Addresses

Primary practice location

2300 Manchester Expy Ste H202
Columbus, GA 31904-6803

Mailing address

2300 Manchester Expy Ste H202
Columbus, GA 31904-6803
Phone (706) 257-7680

Other practice location 1

6262 Veterans Pkwy
Columbus, GA 31909-3540
Phone (706) 324-6661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150708000730 GA Practitioner - Nurse Practitioner 2062724842 Reassigns benefits to 2 organizations
I20180823002711 AL Practitioner - Nurse Practitioner 2062724842 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN180217GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hughston Clinic, PC CurrentSince Jun 1, 2018 Accepting new patients
Northside Primary Care Professional Services,LLC CurrentSince Jun 1, 2015 Accepting new patients
Northside Primary Care Professional Services, LLC CurrentSince Jun 1, 2015 Accepting new patients
Hughston Clinic, P.C. CurrentSince Jun 1, 2018 Accepting new patients
Johns Creek Gastroenterology PC PastSince Feb 21, 2017 Accepting new patients

Locations

161 E University Dr
Auburn, AL 36832
Phone (334) 699-5747

4401 Riverchase Dr
Phenix City, AL 36867
Phone (334) 732-3000

6262 Veterans Pkwy
Unit B
Columbus, GA 31909
Phone (706) 494-3434

6262 Veterans Pkwy
Columbus, GA 31909
Phone (706) 494-3071

2300 Manchester Expy
Ste H202
Columbus, GA 31904
Phone (706) 320-3090

6262 Veterans Pkwy
Ste 330
Columbus, GA 31909

3350 Paddocks Pkwy
#3350A
Suwanee, GA 30024
Phone (678) 474-9633

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mirinda.hall@direct.johnscreekgastro.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1365897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787356800000",
    "number": "1972946523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MANCHESTER EXPY STE H202",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046803",
            "telephone_number": "706-257-7680",
            "fax_number": "706-257-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MANCHESTER EXPY STE H202",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046803",
            "telephone_number": "706-257-7680",
            "fax_number": "706-257-7681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6262 Veterans Pkwy",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319093540",
            "country_code": "US",
            "telephone_number": "706-324-6661",
            "fax_number": "706-494-3201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "ANNA",
        "middle_name": "MIRINDA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-14",
        "last_updated": "2026-08-22",
        "certification_date": "2026-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN180217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.