ANGELA S ANDERSON (FNP) – Family Nurse Practitioner, NPI 1780672840

ANGELA S ANDERSON (FNP) is a healthcare provider. based in Atlanta, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. RN117269 (GA). The NPI Number for ANGELA S ANDERSON (FNP) is 1780672840

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA S ANDERSON (FNP)
NPI
1780672840
Phone
(770) 219-8722
Address
PO BOX 742616
Enumeration Date
12 October 2005
Last Update Date
1 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7708486195
Graduation Year
2000 (26 years ago)
PAC ID
0840210837
Group Practice PAC ID
3274535687
Professional Enrollment ID
I20051206000468
Address ID
GA305175610BR1515XPLXX301
Telehealth
Yes

Contacts

Secure Messaging
amcmahon30026@nghs.gadirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

9,652 NURSE PRACTITIONER in GA

Provider Addresses for ANGELA S ANDERSON (FNP)

  • Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States

    ATLANTA, GA 303742616

    Phone: (770) 219-8722

    Type: Mailing

  • 1515 RIVER PL STE 100

    BRASELTON, GA 305175610

    Phone: (770) 848-6195

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $82.

Total Amount is formed as General ($82) + Research ($0) + Ownership ($0) = $82.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Dexcom, Inc. ($19).

Total Amount

$82

General + Research + Ownership

Payments

5

Total payment records

General Amount

$82

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

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: 2005-12-06

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
I20051206000468INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg50050$0
99213Established patient office or other outpatient visit, 20-29 minutes313296$0
99214Established patient office or other outpatient visit, 30-39 minutes183175$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)149147$0
0241URespiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected123122$0
View full utilization report →

Insurance plans in this area (ZIP 30374)

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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: 3274535687View full group profile
NameSpecialtyState
Physician AssistantGA
Family PracticeGA
Nurse PractitionerGA
Family PracticeGA
Physician AssistantGA
-GA
Family PracticeGA
-GA
General SurgeryIL
Nurse PractitionerGA

Reviews

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Frequently asked questions

What NPI should I save for ANGELA S ANDERSON (FNP)?
Save NPI 1780672840 if you need a stable reference for ANGELA S ANDERSON (FNP).
Is ANGELA S ANDERSON (FNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is ANGELA S ANDERSON (FNP)?
The page reflects Family Nurse Practitioner for ANGELA S ANDERSON (FNP). Clinical services aligned with this taxonomy classification.
Where does public data place ANGELA S ANDERSON (FNP)?
The snapshot lists Atlanta, Georgia for ANGELA S ANDERSON (FNP); download NPPES for the complete set.
Is ANGELA S ANDERSON (FNP) a real provider?
This page reflects official NPPES data for NPI 1780672840. Always confirm identity and privileges with the practice and licensing boards.

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