PHAN TASCO ANDERSON (PA) – Physician Assistant, NPI 1265570105

Physician Assistant

PHAN TASCO ANDERSON (PA) is a healthcare provider. based in Kathleen, Georgia. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. 1457 (CO). The NPI Number for PHAN TASCO ANDERSON (PA) is 1265570105

Main info

Female

22 Years Of Experience

Accepts Medicare Assignment

Name

PHAN TASCO ANDERSON (PA)

NPI

1265570105

Phone

(719) 337-9392

Address

203 GREYTHORNE DR

Enumeration Date

2 February 2007

Last Update Date

18 January 2012

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9286451700

Graduation Year

2004 (22 years ago)

PAC ID

0840519351

Group Practice PAC ID

4082509591

Professional Enrollment ID

I20170922001717

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for PHAN TASCO ANDERSON (PA)

203 GREYTHORNE DR
KATHLEEN, GA 310475304
Phone: (719) 337-9392
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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31047)

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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: 4082509591View full group profile

Name	Specialty	State
DR. RAYMOND LEE HOLSTEN (MD)	Family Practice, Geriatric Medicine	AZ
MICHELLE ANNE CRAFT (APRN-RNP, FNP-BC)	Nurse Practitioner	AZ
BRENDA CHRISTINE PECOTTE DE GONZALEZ (DO)	Obstetrics/Gynecology, Family Practice	IL
BRIAN SAVERY (LPC)	Mental Health Counselor	AZ
MRS. JOANNE HARTMANN VILLEGAS (CNP)	Nurse Practitioner	OH
MS. SARA KAY BENNETT (DNP, RNP, FNP)	Nurse Practitioner	AZ
HEATHER A. CRANE (FNP)	-	AZ
MICAH CHARLES FRENCH (FNP-C)	Nurse Practitioner	AZ
MRS. ANIDA PIERSON (FNP)	Nurse Practitioner	AZ
DR. RAHSAAN LATEEF LINDSEY (M.D.)	P S Y C H I A T R Y	MD

Reviews

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Frequently asked questions

Does PHAN TASCO ANDERSON (PA) share an NPI with anyone else?

NPI numbers are unique to each provider or organization — PHAN TASCO ANDERSON (PA) uses 1265570105.

Does CMS list PHAN TASCO ANDERSON (PA) as active?

Yes — PHAN TASCO ANDERSON (PA) is active in the NPI listing used on this page.

What taxonomy line describes PHAN TASCO ANDERSON (PA)?

For research purposes, treat PHAN TASCO ANDERSON (PA) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.

What area does PHAN TASCO ANDERSON (PA) serve?

PHAN TASCO ANDERSON (PA)'s listing highlights Kathleen, Georgia; more addresses can appear in NPPES.

Why does PHAN TASCO ANDERSON (PA) have multiple addresses?

2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.