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DR. MICHAEL GEORGE ANDERSON MD NPI 1073685418


NPI Information

NPI: 1073685418
Provider Name: DR. MICHAEL GEORGE ANDERSON, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
391 EAST MAIN STREET
HISTORIC HAWKINS BUILDING
CANTON, GA
ZIP 30114
Phone: (770) 720-6963
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DR. Michael George Anderson, MD is a pediatrics in Canton, GA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Michael George Anderson, MD NPI is 1073685418. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

391 EAST MAIN STREET
HISTORIC HAWKINS BUILDING
CANTON, GA
ZIP 30114-712
Phone: (770) 720-6963
Fax: (770) 720-6965

The enumeration date for this NPI number is 11/14/2006 and was last updated on 10/1/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics054532GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11609087972OTHERGEORGIAAUTHORIZED CONTACT REPRESENTATIVE: STEPHANIE H. ANDERSON, NPI#
2629697125AOTHERGEORGIAMEDICAID PAYOR ID# EMPLOYER NORTHSIDE CHILDREN'S PEDIATRICS CTR, NPI# 1396945515
3268736326AMEDICAIDGEORGIA
4H39853MEDICARE UPINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.