ANGELLE ANDERSON (MD) – Family Medicine Physician, NPI 1801456728
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,210 FAMILY PRACTICE in TN
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Provider Addresses for ANGELLE ANDERSON (MD)
190 GRIGSBY LN APT 303
CORDOVA, TN 380184841
Phone:
Type: Mailing
Baptist Memorial Hospital-Memphis, 6019, Walnut Grove Road, Memphis, Shelby County, Tennessee, 38120, United States
MEMPHIS, TN 381202113
Phone: (901) 226-1358
Type: Location
1605 N Garland Ave
Garland, TX 750409417
Phone: (469) 609-7483
Type: Location
6300 SAMUELL BLVD STE 120
DALLAS, TX 752287100
Phone: (214) 381-1910
Fax: (214) 381-2868
Type: Mailing
6300 SAMUELL BLVD
DALLAS, TX 752287137
Phone: (214) 381-1910
Fax: (214) 381-2868
Type: Location
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 $342.
Total Amount is formed as General ($342) + Research ($0) + Ownership ($0) = $342.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($218).
Total Amount
$342
General + Research + Ownership
Payments
8
Total payment records
General Amount
$342
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $218 |
| Exact Sciences Corporation | $42 |
| MAYNE PHARMA COMMERCIAL LLC | $32 |
| Lilly USA, LLC | $26 |
| PFIZER INC. | $24 |
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: 2023-09-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230925002365 | I | Family Practice | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 38018)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | VA |
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