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MR. MICHAEL JAMES ANDERSON PA-C
NPI 1235781675
Physician Assistant in Newnan, GA

Active since July 16, 2019PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
1825 HIGHWAY 34 E, NEWNAN, GA 30265(770) 502-2121(770) 502-2113 Get Directions Write a Review

NPPES record last updated: July 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael James Anderson Pa-c NPPES

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

MR. MICHAEL JAMES ANDERSON PA-C (NPI 1235781675) is an individual physician assistant in Newnan, Georgia, licensed in Georgia (9338) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1235781675
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MICHAEL JAMES ANDERSONCredential: PA-C
Location Address1825 HIGHWAY 34 ENewnan, GA 30265-6423
Mailing Address1825 Highway 34 ENewnan, GA 30265-6423 · (770) 502-2121 · Fax (770) 502-2113
Phone(770) 502-2121
Fax(770) 502-2113
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 16, 2019
✔ NPI 1235781675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 9338
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1825 HIGHWAY 34 E, Newnan, GA 30265
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Michael James Anderson Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971925918
PECOS Enrollment IDI20200622001468
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
264 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
203 services192 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
62 services31 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
56 services56 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
47 services47 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
45 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30265 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
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

WELLSTREET OF GEORGIA PC
Non-Pharmacy Dispensing Site
1825 HIGHWAY 34 E
NEWNAN, GA 30265
Coweta County (770) 502-2121
ALLYSON COOPER PA-C
Physician Assistant
1825 HIGHWAY 34 E
NEWNAN, GA 30265
Coweta County (770) 502-2121
NIOKA YOUNG PA-C
Physician Assistant
1825 HIGHWAY 34 E
NEWNAN, GA 30265
Coweta County (404) 344-7337
MRS. SARAH RIORDAN BENCE P.A-C
Physician Assistant (Medical)
1825 HIGHWAY 34 E
NEWNAN, GA 30265
Coweta County (770) 502-2121
DR. SAMER BEDI BLACKMON MD
Internal Medicine
1825 HIGHWAY 34 E, ST. 3000
NEWNAN, GA 30265
Coweta County (770) 252-6767
MRS. EMILY RACHEL FAULKNER NP-C
Nurse Practitioner (Family)
1825 HIGHWAY 34 E, SUITE 1300
NEWNAN, GA 30265
Coweta County (770) 512-2121
KATHRYN MORGAN NP
Nurse Practitioner (Family)
1825 HIGHWAY 34 E
NEWNAN, GA 30265
Coweta County (770) 502-2121
COWETA OCCUPATIONAL MEDICINE
Clinic/Center (Occupational Medicine)
1825 HIGHWAY 34 E, SUITE 1300
NEWNAN, GA 30265
Coweta County (770) 502-2121

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 Michael Anderson's NPI number?

The NPI number for Michael Anderson is 1235781675. It was assigned to this individual provider in the NPPES registry on July 16, 2019.

Where is Michael Anderson located?

Michael Anderson practices at 1825 Highway 34 E, Newnan, GA 30265. The listed phone number is (770) 502-2121.

What is Michael Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michael Anderson enrolled in Medicare?

Yes. Michael Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michael Anderson was last updated on July 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.