PAUL DUANE ANDERSON (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1427654508

PAUL DUANE ANDERSON (PMHNP) is a healthcare provider. based in Warner robins, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. RN239689 (GA). The NPI Number for PAUL DUANE ANDERSON (PMHNP) is 1427654508

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
PAUL DUANE ANDERSON (PMHNP)
NPI
1427654508
Phone
(478) 538-0677
Address
204 LISA MARIE CT
Enumeration Date
5 December 2020
Last Update Date
24 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9126626501
Graduation Year
2022 (4 years ago)
PAC ID
4385095744
Group Practice PAC ID
4284951542
Professional Enrollment ID
I20240110001219
Address ID
GA310618546MI114XXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for PAUL DUANE ANDERSON (PMHNP)

  • 204 LISA MARIE CT

    WARNER ROBINS, GA 310882980

    Phone: (478) 538-0677

    Type: Mailing

  • 213 CART PATH WAY

    BONAIRE, GA 310054764

    Phone: (478) 538-0677

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($30).

Total Amount

$125

General + Research + Ownership

Payments

8

Total payment records

General Amount

$125

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

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: 2024-01-10

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
I20240110001219INurse PractitionerGATBD

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.

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

Insurance plans in this area (ZIP 31088)

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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: 4284951542View full group profile
NameSpecialtyState
Nurse PractitionerGA
-GA
Nurse PractitionerGA
Diagnostic RadiologyGA
Nurse PractitionerGA
Internal MedicineGA
Internal Medicine, Allergy/ImmunologyGA
General PracticeGA
Nurse PractitionerGA
Internal MedicineGA

Reviews

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Frequently asked questions

Does PAUL DUANE ANDERSON (PMHNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — PAUL DUANE ANDERSON (PMHNP) uses 1427654508.
Is PAUL DUANE ANDERSON (PMHNP) listed as active for patients and plans?
The listing shows PAUL DUANE ANDERSON (PMHNP) as active in the NPI system.
What healthcare role does PAUL DUANE ANDERSON (PMHNP) hold?
Scheduling teams often label PAUL DUANE ANDERSON (PMHNP) under Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for PAUL DUANE ANDERSON (PMHNP)?
PAUL DUANE ANDERSON (PMHNP)'s geographic hint is Warner Robins, Georgia in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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