Scott E Anderson, PA-C
Physician Assistant in Cumming, GA. Individual provider (NPI-1).
NPI number1164477337
StatusActive
Last updated in NPPESNov 3, 2009
Details
- NPI
- 1164477337
- Entity type
- Individual (NPI-1)
- Name
- Mr. Scott E Anderson
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 24, 2006
- Last updated
- Nov 3, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 003854 | GA | Yes |
| 363AM0700X | Physician Assistant, Medical | 003854 | GA |
Practice location
1100 Northside Forsyth DrSuite 340
Cumming, GA 30041-6012
Phone 770-886-8111 · Fax 770-205-8539
Mailing address
1100 Northside Forsyth DrSuite 340
Cumming, GA 30041-6012
Phone 770-886-8111 · Fax 770-205-8539
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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