EVELYN ANITA ANDERSON
NPI 1295342731
Skilled Nursing Facility - Nursing Care, Pediatric in Grantville, GA

Q: What is Evelyn Anderson's NPI number?

The NPI number for Evelyn Anderson is 1295342731. It was assigned to this individual provider in the NPPES registry on September 29, 2020.

Q: What is Evelyn Anderson's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility, specializing in Nursing Care, Pediatric, with taxonomy code 3140N1450X.

Q: When was this NPI record last updated?

The NPPES record for Evelyn Anderson was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 29, 2020

202 CHARLIE FULLER RD, GRANTVILLE, GA 30220(770) 927-2290(404) 522-2935 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Evelyn Anita Anderson NPPES

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

EVELYN ANITA ANDERSON (NPI 1295342731) is an individual nursing care, pediatric provider in Grantville, Georgia, licensed in Georgia (113357) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1295342731

Entity TypeIndividualFemale

Primary Taxonomy3140N1450X

Provider Legal NameEVELYN ANITA ANDERSON

Location Address202 CHARLIE FULLER RDGrantville, GA 30220-2801

Mailing Address202 Charlie Fuller RdGrantville, GA 30220-2801 · (770) 927-2290 · Fax (404) 522-2935

Phone(770) 927-2290

Fax(404) 522-2935

Sole ProprietorYes

Enumeration DateSeptember 29, 2020

NPPES CertifiedSeptember 29, 2020

✔ NPI 1295342731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing Facility · Nursing Care, PediatricNursing & Custodial Care Facilities

Taxonomy Code3140N1450X

License✔ Licensed in GA · 113357

Definition

A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

202 CHARLIE FULLER RD, Grantville, GA 30220

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Other Providers at the Same Location NPPES

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

SUPER NURSES HOME CARE INC

In Home Supportive Care

202 CHARLIE FULLER RD
GRANTVILLE, GA 30220

Coweta County (678) 929-3137

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 Evelyn Anderson's NPI number?

The NPI number for Evelyn Anderson is 1295342731. It was assigned to this individual provider in the NPPES registry on September 29, 2020.

Where is Evelyn Anderson located?

Evelyn Anderson practices at 202 Charlie Fuller Rd, Grantville, GA 30220. The listed phone number is (770) 927-2290.

What is Evelyn Anderson's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility, specializing in Nursing Care, Pediatric, with taxonomy code 3140N1450X.

When was this NPI record last updated?

The NPPES record for Evelyn Anderson was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.