HENRY HARRISON IV ANDERSON (MD) – Family Medicine Physician, NPI 1811947443

HENRY HARRISON IV ANDERSON (MD) is a healthcare provider. based in College park, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 033792 (GA). The NPI Number for HENRY HARRISON IV ANDERSON (MD) is 1811947443

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
HENRY HARRISON IV ANDERSON (MD)
NPI
1811947443
Phone
(404) 766-6001
Address
5530B OLD NATIONAL HWY
Enumeration Date
12 May 2006
Last Update Date
10 December 2010

Doctor Profile

Medical School Name
MOREHOUSE SCHOOL OF MEDICINE
Secondary Phone
7702546131
Graduation Year
1989 (37 years ago)
PAC ID
9335219765
Group Practice PAC ID
6002802220
Professional Enrollment ID
I20080528000403
Address ID
GA302652402NE2401XBYPA401
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

3,103 FAMILY PRACTICE in GA

Provider Addresses for HENRY HARRISON IV ANDERSON (MD)

  • 5530B OLD NATIONAL HWY

    COLLEGE PARK, GA 303493344

    Phone: (404) 766-6001

    Fax: (678) 336-7099

    Type: Location

  • Main Street, Snellville, Gwinnett County, Georgia, 30078, United States

    BLDG 19B

    SNELLVILLE, GA 300783164

    Phone: (678) 252-2137

    Fax: (678) 336-7099

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $120.

Total Amount is formed as General ($120) + Research ($0) + Ownership ($0) = $120.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: PFIZER INC. ($22).

Total Amount

$120

General + Research + Ownership

Payments

7

Total payment records

General Amount

$120

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

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: 2008-05-28

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
I20080528000403IFamily PracticeGATBD

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 mg34243$0
96372Injection of drug or substance under skin or into muscle8451$0
J0696Injection, ceftriaxone sodium, per 250 mg7420$0
99213Established patient office or other outpatient visit, 20-29 minutes6251$0
99214Established patient office or other outpatient visit, 30-39 minutes4848$0
View full utilization report →

Insurance plans in this area (ZIP 30349)

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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: 6002802220View full group profile

Reviews

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Frequently asked questions

What is HENRY HARRISON IV ANDERSON (MD)'s NPI number?
HENRY HARRISON IV ANDERSON (MD)'s NPI is 1811947443 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to HENRY HARRISON IV ANDERSON (MD)?
You should see HENRY HARRISON IV ANDERSON (MD) as active in CMS-hosted NPPES data.
What kind of doctor is HENRY HARRISON IV ANDERSON (MD)?
HENRY HARRISON IV ANDERSON (MD) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for HENRY HARRISON IV ANDERSON (MD)?
Travel planning: use College Park, Georgia as the reference point for HENRY HARRISON IV ANDERSON (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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