SHAUNTILE ANDERSON NP
NPI 1316640238
Nurse Practitioner in Waycross, GA
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Shauntile Anderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jacksonville, FL 32216
- Reassigned Medicare billing, Florida and Georgia enrollments
- 7 clinicians in this Medicare group
Johns Creek, GA 30097
- Reassigned Medicare billing, Georgia enrollment
- 137 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
WAYCROSS, GA 31503
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 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.
Where is Shauntile Anderson located?
Shauntile Anderson practices at 1007 Mary St, Waycross, GA 31503. The listed phone number is (912) 449-7111.
What is Shauntile Anderson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Shauntile Anderson enrolled in Medicare?
Yes. Shauntile 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.
Which organizations bill Medicare for Shauntile Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shauntile Anderson reassigns Medicare benefits to 2 organizations: At Home Palliative Care, LLC (Jacksonville, FL) and Christopher Dennis MD PLLC (Johns Creek, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shauntile Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shauntile Anderson accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Shauntile Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Shauntile Anderson was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Shauntile Anderson, NP · NPI 1316640238
Nurse Practitioner physician in Waycross, Georgia. Individual provider, active in the CMS NPPES registry since March 22, 2023.
## Identity
- **NPI:** 1316640238 (Entity type: Individual)
- **Enumerated:** March 22, 2023
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN270925 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1007 MARY ST, Waycross, GA 31503-3823
- **Phone:** (912) 449-7111 · **Fax:** (912) 449-7060
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): At Home Palliative Care, LLC (NPI 1790406148, Jacksonville, FL); Christopher Dennis MD PLLC (NPI 1588090229, Johns Creek, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** March 22, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1316640238) · Data from the CMS NPPES public registry.