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MR. MARK ANDERSON NP-C
NPI 1386112456
Nurse Practitioner - Family in Statesboro, GA

Active since November 07, 2018PECOS EnrolledAccepts Medicare Assignment
112 HILL POND LN STE A, STATESBORO, GA 30458(912) 259-9633(912) 259-9634 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 23, 2023, Apr 20, 2021, Feb 25, 2019 and 2 more (5 updates tracked since 2018).

About Mr. Mark Anderson Np-c NPPES

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

MR. MARK ANDERSON NP-C (NPI 1386112456) is an individual family provider in Statesboro, Georgia, licensed in Georgia (RN220654) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS, is affiliated with East Georgia Regional Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1386112456
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. MARK ANDERSONCredential: NP-C
Location Address112 HILL POND LN STE AStatesboro, GA 30458-0872
Mailing Address130 Harry Hagan RdPembroke, GA 31321-9670 · (912) 433-4707
Phone(912) 259-9633
Fax(912) 259-9634
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 7, 2018
Last NPPES UpdateOctober 29, 20255 updates tracked since enumeration
NPPES CertifiedOctober 29, 2025
✔ NPI 1386112456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN220654
112 HILL POND LN STE A, Statesboro, GA 30458
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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

Mr. Mark Anderson Np-c 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 ID4880927797
PECOS Enrollment IDI20190607002634
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.

Hospital Affiliations CMS Care Compare 3

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

East Georgia Regional Medical Center

Acute Care Hospitals · Statesboro, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110075
Location1499 Fair RoadStatesboro, GA 30458 · Bulloch County
Emergency services

Evans Memorial Hospital

Acute Care Hospitals · Claxton, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110142
Location200 N River StreetClaxton, GA 30417 · Evans County
Emergency services

Candler County Hospital

Critical Access Hospitals · Metter, GA
OwnershipProprietary
CMS Certification Number111334
Location400 Cedar StreetMetter, GA 30439 · Candler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30458 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.

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 Mark Anderson's NPI number?

The NPI number for Mark Anderson is 1386112456. It was assigned to this individual provider in the NPPES registry on November 7, 2018.

Where is Mark Anderson located?

Mark Anderson practices at 112 Hill Pond Ln Ste A, Statesboro, GA 30458. The listed phone number is (912) 259-9633.

What is Mark Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mark Anderson enrolled in Medicare?

Yes. Mark 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.

Is Mark Anderson affiliated with any hospitals?

According to CMS data, Mark Anderson is affiliated with East Georgia Regional Medical Center, Evans Memorial Hospital and Candler County Hospital.

When was this NPI record last updated?

The NPPES record for Mark Anderson was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.