DR. ANSA ANDERSON MD
NPI 1376073015
Family Medicine in Marietta, GA

Active since June 15, 2017Opted out of Medicare · through Nov 21, 2027
4800 OLDE TOWNE PKWY STE 320, MARIETTA, GA 30068(770) 442-1911 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 1, 2021, Mar 17, 2021, Jun 15, 2017 (3 updates tracked since 2017).

About Dr. Ansa Anderson Md NPPES

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

DR. ANSA ANDERSON MD (NPI 1376073015) is an individual family medicine provider in Marietta, Georgia, licensed in Georgia (86286) and active in the NPI registry since June 2017. She has opted out of Medicare through November 21, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1376073015
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANSA ANDERSONCredential: MD
Location Address4800 OLDE TOWNE PKWY STE 320Marietta, GA 30068-4357
Mailing Address3400 Old Milton Pkwy Ste C270Alpharetta, GA 30005-4414 · (770) 442-1911 · Fax (770) 663-8905
Sole ProprietorYes
Enumeration DateJune 15, 2017
Last NPPES UpdateApril 1, 20213 updates tracked since enumeration
NPPES CertifiedApril 1, 2021
NPI 1376073015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in GA · 86286 Licensed in PA · MT213881
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4800 OLDE TOWNE PKWY STE 320, Marietta, GA 30068

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Ansa Anderson Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 21, 2023 through November 21, 2027.

Opt-Out Effective DateNovember 21, 2023
Opt-Out In Effect ThroughNovember 21, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30068 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$27.13 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 5

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

Physician Assistant
4800 OLDE TOWNE PKWY STE 320
MARIETTA, GA 30068
Nurse Practitioner (Family)
4800 OLDE TOWNE PKWY STE 320
MARIETTA, GA 30068
Internal Medicine
4800 OLDE TOWNE PKWY STE 320
MARIETTA, GA 30068
Family Medicine
4800 OLDE TOWNE PKWY STE 320
MARIETTA, GA 30068
Nurse Practitioner
4800 OLDE TOWNE PKWY STE 320
MARIETTA, GA 30068

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 Ansa Anderson's NPI number?

The NPI number for Ansa Anderson is 1376073015. It was assigned to this individual provider in the NPPES registry on June 15, 2017.

Where is Ansa Anderson located?

Ansa Anderson practices at 4800 Olde Towne Pkwy Ste 320, Marietta, GA 30068. The listed phone number is (770) 442-1911.

What is Ansa Anderson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ansa Anderson enrolled in Medicare?

No. Ansa Anderson has opted out of Medicare through November 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Ansa Anderson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Ansa 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 Ansa Anderson was last updated on April 1, 2021. 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.