JUSTIN W ANDERSON (NP) – Family Nurse Practitioner, NPI 1023494135
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for JUSTIN W ANDERSON (NP)
454 SMITH AVE
THOMASVILLE, GA 317925535
Phone: (229) 227-5510
Type: Location
1401 S MAIN ST
MOULTRIE, GA 317685811
Phone: (229) 227-5510
Type: Mailing
1005 S WASHINGTON ST
BAINBRIDGE, GA 398194465
Phone: (229) 248-2683
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 49 Open Payments records for all available years, with a total value of $1,080.
Total Amount is formed as General ($1,080) + Research ($0) + Ownership ($0) = $1,080.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($317).
Total Amount
$1,080
General + Research + Ownership
Payments
49
Total payment records
General Amount
$1,080
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-08-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150825005525 | I | Nurse Practitioner | GA | TBD |
| I20250812001655 | I | Nurse Practitioner | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 192 | 111 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 32 | 30 | $0 |
Insurance plans in this area (ZIP 31792)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | GA | |
| - | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| Nurse Practitioner | GA |
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