MARIE B ANDERSON (P.A.) – Physician Assistant, NPI 1013916774

MARIE B ANDERSON (P.A.) is a healthcare provider. based in Athens, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 002031 (GA). The NPI Number for MARIE B ANDERSON (P.A.) is 1013916774

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
MARIE B ANDERSON (P.A.)
NPI
1013916774
Phone
(706) 543-2718
Address
120 TRINITY PL
Enumeration Date
15 July 2005
Last Update Date
8 December 2009

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7065436261
Graduation Year
1987 (39 years ago)
PAC ID
4880868355
Group Practice PAC ID
1759376239
Professional Enrollment ID
I20111118000036
Address ID
GA306066030AT2317XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

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Provider Addresses for MARIE B ANDERSON (P.A.)

  • 120, Trinity Place, Moss Side, Athens, Athens-Clarke County, Georgia, 30607, United States

    ATHENS, GA 306072100

    Phone: (706) 543-2718

    Fax: (706) 353-3709

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 92 Open Payments records for all available years, with a total value of $2,385.

Total Amount is formed as General ($2,385) + Research ($0) + Ownership ($0) = $2,385.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Janssen Biotech, Inc. ($445).

Total Amount

$2,385

General + Research + Ownership

Payments

92

Total payment records

General Amount

$2,385

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-11-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111118000036IPhysician AssistantGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
81003Automated urinalysis test236165$0
99214Established patient office or other outpatient visit, 30-39 minutes194141$0
51798Ultrasound measurement of bladder capacity after voiding157116$0
74018X-ray of abdomen, 1 view3529$0
99213Established patient office or other outpatient visit, 20-29 minutes3230$0
View full utilization report →

Insurance plans in this area (ZIP 30607)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759376239View full group profile
NameSpecialtyState
Nurse PractitionerGA
Physician AssistantGA
Nurse PractitionerGA
U R O L O G YGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

Does MARIE B ANDERSON (P.A.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARIE B ANDERSON (P.A.) uses 1013916774.
Is MARIE B ANDERSON (P.A.) listed as active for patients and plans?
The listing shows MARIE B ANDERSON (P.A.) as active in the NPI system.
What healthcare role does MARIE B ANDERSON (P.A.) hold?
Scheduling teams often label MARIE B ANDERSON (P.A.) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect MARIE B ANDERSON (P.A.) on a map?
Expect Athens, Georgia as a primary anchor for MARIE B ANDERSON (P.A.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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