1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Psychiatry Neurology
  6. NPI Profile

WALTER ANDERSON M.D.
NPI 1629194907
Psychiatry & Neurology - Psychiatry in Atlanta, GA

Active since March 21, 2007Opted out of Medicare · through Apr 25, 2028
4675 N SHALLOWFORD RD, SUITE 210, ATLANTA, GA 30338(770) 936-9403 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walter Anderson M.d. NPPES

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

WALTER ANDERSON M.D. (NPI 1629194907) is an individual psychiatry provider in Atlanta, Georgia, licensed in Georgia (021939) and active in the NPI registry since March 2007. He has opted out of Medicare through April 25, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1629194907
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameWALTER ANDERSONCredential: M.D.
Location Address4675 N SHALLOWFORD RD, SUITE 210Atlanta, GA 30338-6309
Mailing Address4675 N Shallowford Rd, Suite 210Atlanta, GA 30338-6309
Phone(770) 936-9403
Sole ProprietorYes
Enumeration DateMarch 21, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629194907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in GA · 021939
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
4675 N SHALLOWFORD RD, Atlanta, GA 30338
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Walter Anderson M.d. 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 April 25, 2016 through April 25, 2028.

Opt-Out Effective DateApril 25, 2016
Opt-Out In Effect ThroughApril 25, 2028Opt-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 30338 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
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

SAMANTHA B GOLD INC
Counselor (Professional)
4675 N SHALLOWFORD RD
DUNWOODY, GA 30338
Dekalb County (678) 555-3735
DUNWOODY NORTHEAST DENTISTRY, LLC
Clinic/Center (Dental)
4675 N SHALLOWFORD RD, SUITE #118
ATLANTA, GA 30338
Dekalb County (770) 452-0222
MR. CHARLES W WILSON JR. PHARMACIST
Pharmacist
4675 N SHALLOWFORD RD, SUITE 101
DUNWOODY, GA 30338
Dekalb County (770) 455-1144
DR. LAWRENCE J. REUTER, P.C.
Chiropractor
4675 N SHALLOWFORD RD, SUITE100
DUNWOODY, GA 30338
Dekalb County (770) 455-4547
PCCA INC
Pharmacy (Community/Retail Pharmacy)
4675 N SHALLOWFORD RD, STE 101
DUNWOODY, GA 30338
Dekalb County (770) 455-1144
LEE W. PLUNKETT, D.M.D., P.C.
Dentist (General Practice)
4675 N SHALLOWFORD RD, SUITE 118
DUNWOODY, GA 30338
Dekalb County (770) 452-0222
DR. LEROY BRYCE CARTER PHARM. D.
Pharmacist
4675 N SHALLOWFORD RD, SUITE 101
DUNWOODY, GA 30338
Dekalb County (770) 455-1144
ULIOMA SOTUNDE
Pharmacist
4675 N SHALLOWFORD RD
DUNWOODY, GA 30338
Dekalb County (770) 455-1144

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 Walter Anderson's NPI number?

The NPI number for Walter Anderson is 1629194907. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Walter Anderson located?

Walter Anderson practices at 4675 N Shallowford Rd Suite 210, Atlanta, GA 30338. The listed phone number is (770) 936-9403.

What is Walter Anderson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Walter Anderson enrolled in Medicare?

No. Walter Anderson has opted out of Medicare through April 25, 2028. 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.

When was this NPI record last updated?

The NPPES record for Walter Anderson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.