ANGELA RENEE ADDISON FNP-C
NPI 1093677569
Nurse Practitioner - Family in Thomasville, GA

Active since December 02, 2025PECOS Enrolled
919 S BROAD ST, THOMASVILLE, GA 31792(229) 584-5400 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angela Renee Addison Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA RENEE ADDISON FNP-C (NPI 1093677569) is an individual family provider in Thomasville, Georgia, licensed in Georgia (APRN-NP228718) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS, is affiliated with Archbold Memorial, and maintains a secondary practice location in Thomasville.

NPPES Registry Identity

NPI1093677569
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANGELA RENEE ADDISONCredential: FNP-C
Location Address919 S BROAD STThomasville, GA 31792-6114
Mailing Address128 Cove Landing DrThomasville, GA 31792-3883 · (229) 421-1784
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 2, 2025
NPPES CertifiedDecember 2, 2025
NPI 1093677569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · APRN-NP228718
919 S BROAD ST, Thomasville, GA 31792

Secondary Practice Location 1

Location 1915 Gordon AveThomasville, GA 31792-6614 · Phone (229) 228-2000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Angela Renee Addison Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466938675
PECOS Enrollment IDI20260107003793
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Archbold Memorial

Acute Care Hospitals · Thomasville, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110038
Location915 Gordon Avenue & Mimosa DriveThomasville, GA 31792 · Thomas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31792 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
919 S BROAD ST
THOMASVILLE, GA 31792
Internal Medicine (Hematology & Oncology)
919 S BROAD ST
THOMASVILLE, GA 31792
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
919 S BROAD ST
THOMASVILLE, GA 31792
Internal Medicine (Medical Oncology)
919 S BROAD ST
THOMASVILLE, GA 31792
Nurse Practitioner (Family)
919 S BROAD ST
THOMASVILLE, GA 31792
Internal Medicine (Hematology & Oncology)
919 S BROAD ST
THOMASVILLE, GA 31792
Nurse Practitioner (Acute Care)
919 S BROAD ST
THOMASVILLE, GA 31792
Internal Medicine (Hematology & Oncology)
919 S BROAD ST
THOMASVILLE, GA 31792

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Addison's NPI number?

The NPI number for Angela Addison is 1093677569. It was assigned to this individual provider in the NPPES registry on December 2, 2025.

Where is Angela Addison located?

Angela Addison practices at 919 S Broad St, Thomasville, GA 31792. The listed phone number is (229) 584-5400.

What is Angela Addison's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Angela Addison enrolled in Medicare?

Yes. Angela Addison is registered in the Medicare PECOS enrollment system.

Is Angela Addison affiliated with any hospitals?

According to CMS data, Angela Addison is affiliated with Archbold Memorial.

When was this NPI record last updated?

The NPPES record for Angela Addison was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.