ANDERSON FAMILY MEDICINE - NPI 1477612414 - Family Medicine in Dawsonville, GA

Q: What is Larry W Anderson, Do, LLC's NPI number?

The NPI number for Larry W Anderson, Do, LLC is 1477612414. It was assigned to this organization in the NPPES registry on December 6, 2006.

Q: What is Larry W Anderson, Do, LLC's specialty?

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

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About Anderson Family Medicine NPPES

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

ANDERSON FAMILY MEDICINE (NPI 1477612414) is a healthcare organization registered as a family medicine in Dawsonville, Georgia and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through November 30, 2026 and lists Larry W Anderson, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1477612414

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameLARRY W ANDERSON, DO, LLC

Location Address6002 HIGHWAY 53 EDawsonville, GA 30534-6227

Mailing Address6002 Highway 53 EDawsonville, GA 30534-6227 · (706) 265-1335 · Fax (706) 265-2296

Phone(706) 265-1335

Fax(706) 265-2296

Organization SubpartNo

Authorized OfficialLarry W AndersonManaging Member · (706) 265-1335

Enumeration DateDecember 6, 2006

Last NPPES UpdateNovember 27, 2007

✔ NPI 1477612414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 020648

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.

6002 HIGHWAY 53 E, Dawsonville, GA 30534

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Other Names 1

Doing Business AsAnderson Family Medicine

Other Identifiers 3

OtherGRP7339Medicare Legacy

Medicare UPINE89470GA

OtherDG1560GA · Railroad Medicare Grp #

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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) 11D1045156

Northside Dawson Primary Care · Dawsonville, GA

Active · expires Nov 30, 2026

CLIA Number11D1045156

Laboratory TypePhysician Office

Certificate Effective DateDecember 1, 2024

Certificate Expiration DateNovember 30, 2026

Laboratory DirectorGregory Morgan

Laboratory Phone(706) 265-1335

Laboratory LocationNorthside Dawson Primary Care81 Northside Dawson Drive Suite 205, Dawsonville, GA 30534

CLIA data matches this NPI record on: Phone

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.

Other Providers at the Same Location NPPES 2

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

JOHN MICHAEL GOUGH PT

Physical Therapist

6002 HIGHWAY 53 E, SUITE 100
DAWSONVILLE, GA 30534

Dawson County (706) 265-8790

ELLISON CROFT NP-C

Nurse Practitioner (Family)

6002 HIGHWAY 53 E
DAWSONVILLE, GA 30534

Dawson County (706) 265-8002

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 Larry W Anderson, Do, LLC's NPI number?

The NPI number for Larry W Anderson, Do, LLC is 1477612414. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Larry W Anderson, Do, LLC located?

Larry W Anderson, Do, LLC is located at 6002 Highway 53 E, Dawsonville, GA 30534. The listed phone number is (706) 265-1335.

What is Larry W Anderson, Do, LLC's specialty?

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

Does Larry W Anderson, Do, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D1045156) is associated with this NPI, valid through November 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Larry W Anderson, Do, LLC was last updated on November 27, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.