DR. RICHARD C. ANDERSON NPI 1578766671

NPI Information

  • NPI: 1578766671
  • Provider Name: DR. RICHARD C. ANDERSON
  • Classification: Clinical Nurse Specialist - 364S00000X
  • Entity Type: Organization
  • Address: PO BOX 494
    COCHRAN, GA
    ZIP 31014
  • Phone: (478) 934-4763

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NPI Details

DR. RICHARD C. ANDERSON is a clinical nurse specialist in Cochran, GA. The provider is a registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. DR. RICHARD C. ANDERSON NPI is 1578766671. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

PO BOX 494
COCHRAN, GA
ZIP 31014-494
Phone: (478) 934-4763
Fax: (478) 934-8080

The provider's authorized official is Nan H. Anderson .
The authorized official title is Office Manager and has the following contact phone number (478) 934-4763.

The enumeration date for this NPI number is 6/6/2007 and was last updated on 9/11/2025.

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
11223G0001XDentistGeneral Practice9790GEORGIANo
2363LA2200XNurse PractitionerAdult HealthRN126365 NPGEORGIANo
3364S00000XClinical Nurse SpecialistRN052713GEORGIAYes

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
100269123AMEDICAIDGEORGIA

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: 11/21/2025

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