SHAUNTILE ANDERSON NP
NPI 1316640238
Nurse Practitioner in Waycross, GA

Q: What is Shauntile Anderson's NPI number?

The NPI number for Shauntile Anderson is 1316640238. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Q: What is Shauntile Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since March 22, 2023PECOS EnrolledAccepts Medicare Assignment

1007 MARY ST, WAYCROSS, GA 31503(912) 449-7111(912) 449-7060 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shauntile Anderson Np NPPES

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

SHAUNTILE ANDERSON NP (NPI 1316640238) is an individual nurse practitioner in Waycross, Georgia, licensed in Georgia (RN270925) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Waycross, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1316640238

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSHAUNTILE ANDERSONCredential: NP

Location Address1007 MARY STWaycross, GA 31503-3823

Mailing Address1007 Mary StWaycross, GA 31503-3823 · (912) 449-7111 · Fax (912) 449-7060

Phone(912) 449-7111

Fax(912) 449-7060

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 22, 2023

NPPES CertifiedMarch 22, 2023

✔ NPI 1316640238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · RN270925

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1007 MARY ST, Waycross, GA 31503

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Secondary Practice Location 1

Location 13455 Harris RdWaycross, GA 31503-8960 · Phone (912) 449-7100 · Fax (912) 449-7060

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

Shauntile Anderson Np 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 ID5294190716

PECOS Enrollment IDI20230504002657, I20241210000087

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31503 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 20

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

MISTY BURCHETTE

Counselor