HENRY HARRISON ANDERSON IV (NPI# 1811947443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811947443 |
| Entity Type | Individual |
| Full Name | HENRY HARRISON ANDERSON IV |
| Credential | MD |
| Practice Address |
5530b Old National Hwy College Park GA 30349-3344 |
| Mailing Address |
2795 Main St W Bldg 19b Snellville GA 30078-3164 |
| Practice Telephone | 4047666001 |
| Practice Fax Number | 6783367099 |
| Mailing Telephone | 6782522137 |
| Mailing Fax Number | 6783367099 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2010-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 033792 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000477309Q | 05 | |
| GA | 000477309R | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538612528 | Henry Anderson | Marriage & Family Therapist | 1683 Union St, Spartanburg, SC 29302-4134 | 2016-07-26 |
| 1184752628 | Henry Anderson | Case Manager/Care Coordinator | 6601 W 12th St, Little Rock, AR 72204-1513 | 2007-02-28 |
| 1871646943 | Henry H. Anderson | Counselor | 1010 Gough St, San Francisco, CA 94109-7622 | 2007-01-19 |
| Street Address |
5530B OLD NATIONAL HWY |
| City | COLLEGE PARK |
| State | GA |
| Zip Code | 30349-3344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185686 | Kmb Diagnostics | Durable Medical Equipment & Medical Supplies | 941 Flat Shoals Rd, Atlanta, GA 30349 | 2019-10-09 |
| 1114575859 | Justin Vassell | Registered Nurse | 1903 Phoenix Boulevard, Suite 200, College Park, GA 30349 | 2019-08-27 |
| 1841856663 | Kennyetta Danielle Watkins | Counselor | 1431 Riverwalk Ln, Apt. F, College Park, GA 30349 | 2019-05-16 |
| 1275002636 | Patriot Healthcare of Georgia, LLC | Family Medicine | 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 | 2018-11-15 |
| 1669971875 | Ee Consulting Solution | Case Management | 6320 Topaz Tral, Arlanta, GA 30349 | 2018-02-03 |
| 1629595640 | Shayla Bouie | Contractor | 5420 Riverdale Rd Apt D17, Atlanta, GA 30349 | 2017-08-30 |
| 1114475563 | Jasmine V Mccully | Social Worker | 5864 Summergien Lane, College Park, GA 30349 | 2016-09-14 |
| 1639537681 | Shelia Thornton | Counselor | 5856 Seabright Lane, Atlanta, GA 30349 | 2016-02-05 |
| 1346610177 | Joanne Resilard | Nurse Practitioner | 2931 Herron Ln Sw, Atlanta, GA 30349 | 2015-10-06 |
| 1063805091 | Southwest Atlanta Medical & Rehabilitation Clinic LLC | Family Medicine | 495 85 Circle, Suite 100, Atlanta, GA 30349 | 2015-03-16 |
| Find all providers in zip 30349 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568919421 | Injured Workers Assistance Network | Family Medicine | 1657 Phoenix Blvd, Suite 5, College Park, GA 30349-5554 | 2016-09-07 |
| 1124415294 | Meredith Beeler | Family Medicine | 7305 Baltimore Ave Ste 107, College Park, MD 20740-3232 | 2015-04-16 |
| 1033379144 | Kumuda Reddy | Family Medicine | 5009 Paducah Rd, College Park, MD 20740-1133 | 2008-06-11 |
| 1639379746 | Son Thanh Nguyen | Family Medicine | 1233 Shoreham Dr, College Park, GA 30349-5845 | 2007-07-18 |
| 1326106949 | Bruce Vincent Ramsdell | Family Medicine | 2225 Godby Rd, College Park, GA 30349-5012 | 2006-12-05 |
| 1184706749 | Vickie A James | Family Medicine | 5100 Old Bill Cook Rd, College Park, GA 30349-3142 | 2006-10-20 |
| 1376543595 | Yolanda Eloine Hacker | Family Medicine | 1920 John E Wesley Ave, College Park, GA 30337 | 2005-07-29 |
| 1144228693 | Jay Owen Schlossberg | Family Medicine | 5820 Old National Hwy, College Park, GA 30349-3838 | 2005-07-08 |
| 1154987923 | Zainab Koroma | Family Medicine | 7100 Baltimore Ave, College Park, MD 20740-3627 | 2019-05-16 |
| 1265815567 | Mary A Mitchell | Family Medicine | 7305 Baltimore Ave Ste 107, College Park, MD 20740-3232 | 2015-07-06 |
| Find all providers in COLLEGE PARK | ||||
| City | COLLEGE PARK |
| Zip Code | 30349 |
Please comment or provide details below to improve the information on HENRY HARRISON ANDERSON IV.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.