JOHN DAVID ANDERSON MD
NPI 1316947484
Internal Medicine in Valdosta, GA

Active since July 29, 2005PECOS EnrolledCLIA 11D0265529 · Microscopy
97.19/100
CMS Quality Rating
2704 N OAK ST, BLDG O, VALDOSTA, GA 31602(229) 247-2350(229) 247-6826 Get Directions Write a Review

NPPES record last updated: December 17, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John David Anderson Md NPPES

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

JOHN DAVID ANDERSON MD (NPI 1316947484) is an individual internal medicine provider in Valdosta, Georgia, licensed in Georgia (GA021630) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through August 31, 2026, and is affiliated with Sgmc Health.

NPPES Registry Identity

NPI1316947484
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN DAVID ANDERSONCredential: MD
Location Address2704 N OAK ST, BLDG OValdosta, GA 31602-1744
Mailing Address2704 N Oak St, Bldg OValdosta, GA 31602-1744 · (229) 247-2350 · Fax (229) 247-6826
Fax(229) 247-6826
Sole ProprietorYes
Medical School CMSEmory University School Of MedicineGraduated 1979
Enumeration DateJuly 29, 2005
Last NPPES UpdateDecember 17, 2009
NPI 1316947484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · GA021630
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2704 N OAK ST, Valdosta, GA 31602

Other Identifiers 4

Other11D0265529Clia
Medicare UPIND44715
Medicaid2641658-01FL
Medicaid00229919CGA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John David Anderson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345341921
PECOS Enrollment IDI20070726000417
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D0265529

John D Anderson MD · Valdosta, GA
Active · expires Aug 31, 2026
CLIA Number11D0265529
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJohn D. Anderson
Laboratory Phone(912) 247-2350
Laboratory LocationJohn D Anderson MD2704 North Oak St Bldg O, Valdosta, GA 31602
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 21

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
873 services654 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
649 services124 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
471 services220 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
422 services294 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
286 services286 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.
248 services148 patients

Hospital Affiliations CMS Care Compare 3

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

Sgmc Health

Acute Care Hospitals · Valdosta, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110122
Location2501 North Patterson Street, PO Box 1727Valdosta, GA 31602 · Lowndes County
Emergency services Birthing friendly

Sgmc Berrien Campus

Acute Care Hospitals · Nashville, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110234
Location1221 E Mcpherson AvenueNashville, GA 31639 · Berrien County
Emergency services

Sgmc Health Lanier

Critical Access Hospitals · Lakeland, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111326
Location116 West Thigpen AvenueLakeland, GA 31635 · Lanier County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31602 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
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.

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.

97.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality94.39
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
100%273 patients5/55-star benchmark: 100%
Colorectal Cancer Screening
100%218 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%1,863 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%823 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers57 claims135 services$4.56 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers15 claims26 services$0.84 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers36 claims36 services$37.29 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers39 claims39 services$84.63 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers28 claims67 services$32.11 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers19 claims19 services$57.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

General Practice
2704 N OAK ST, BUILDING A-2
VALDOSTA, GA 31602
Radiology (Diagnostic Radiology)
2704 N OAK ST, BLDG E
VALDOSTA, GA 31602
Nurse Practitioner (Psychiatric/Mental Health)
2704 N OAK ST, SUITE B-3
VALDOSTA, GA 31602
Surgery
2704 N OAK ST, BUILDING F
VALDOSTA, GA 31602
Psychologist
2704 N OAK ST, BUILDING B-3
VALDOSTA, GA 31602
General Practice
2704 N OAK ST, BUILDING A-2
VALDOSTA, GA 31602
Surgery
2704 N OAK ST, BLDG F
VALDOSTA, GA 31602
Dentist
2704 N OAK ST, SUITE C-1
VALDOSTA, GA 31602

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 John Anderson's NPI number?

The NPI number for John Anderson is 1316947484. It was assigned to this individual provider in the NPPES registry on July 29, 2005.

Where is John Anderson located?

John Anderson practices at 2704 N Oak St Bldg O, Valdosta, GA 31602. The listed phone number is (229) 247-2350.

What is John Anderson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Anderson enrolled in Medicare?

Yes. John Anderson is registered in the Medicare PECOS enrollment system.

Does John Anderson hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0265529) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does John Anderson accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list John 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.

Is John Anderson affiliated with any hospitals?

According to CMS data, John Anderson is affiliated with Sgmc Health, Sgmc Berrien Campus and Sgmc Health Lanier.

When was this NPI record last updated?

The NPPES record for John Anderson was last updated on December 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.