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Contact Information

JUDITH L ANDERSON, NP
1968 PEACHTREE RD NW
ATLANTA, GA30309-1281
 Phone: 404-367-3014
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JUDITH L ANDERSON · (Female)

NPI # 1356891220
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 10/04/2016
Last updated 03/10/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • GA License # APRN-NP201550
  • GA License # RN2012550
  • GA License # RN201550
  • GA Medicaid 003182231A
  • GA Medicaid 003182231B
  • GA Other 04229901 AMERIGROUP
  • GA Other 003182231A PEACH STATE
  • GA Other 003182231B PEACH STATE
  • GA Other 1304001 WELLCARE
Hospital affiliation(s)
  • NORTHEAST GEORGIA MEDICAL CENTER INC - (Acute Care)
    743 SPRING STREET
    GAINESVILLE, GA 30501
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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