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DR. PAUL EDWARD ANDERSON JR. MD, DMD
NPI 1801993605
Dentist - Oral and Maxillofacial Surgery in Peachtree City, GA

Active since September 20, 2006Opted out of Medicare · through Apr 1, 2028
262 S PEACHTREE PKWY, SUITE 1, PEACHTREE CITY, GA 30269(770) 302-0101(770) 302-0105 Get Directions Write a Review

NPPES record last updated: May 18, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Paul Edward Anderson Jr. Md, Dmd NPPES

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

DR. PAUL EDWARD ANDERSON JR. MD, DMD (NPI 1801993605) is an individual oral and maxillofacial surgery provider in Peachtree City, Georgia, licensed in Georgia (DN012577) and active in the NPI registry since September 2006. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1801993605
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. PAUL EDWARD ANDERSON JR.Credential: MD, DMD
Location Address262 S PEACHTREE PKWY, SUITE 1Peachtree City, GA 30269-1751
Mailing Address262 S Peachtree Pkwy, Suite 1Peachtree City, GA 30269-1751 · (770) 302-0101 · Fax (770) 302-0105
Phone(770) 302-0101
Fax(770) 302-0105
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMay 18, 2015
✔ NPI 1801993605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in GA · DN012577
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
262 S PEACHTREE PKWY, Peachtree City, GA 30269
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana, Renaissance Dental.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. Paul Edward Anderson Jr. Md, Dmd 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 1, 2020 through April 1, 2028.

Opt-Out Effective DateApril 1, 2020
Opt-Out In Effect ThroughApril 1, 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 30269 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
$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 2

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

KATHY WAGNER COUNSELING SERVICES LLC
Counselor (Professional)
262 S PEACHTREE PKWY, STE 4
PEACHTREE CITY, GA 30269
Fayette County (678) 871-5927
CAMBER DOUGHER, LCSW
Social Worker (Clinical)
262 S PEACHTREE PKWY, STE 4
PEACHTREE CITY, GA 30269
Fayette County (404) 432-4245

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 Paul Anderson's NPI number?

The NPI number for Paul Anderson is 1801993605. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Paul Anderson located?

Paul Anderson practices at 262 S Peachtree Pkwy Suite 1, Peachtree City, GA 30269. The listed phone number is (770) 302-0101.

What is Paul Anderson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Paul Anderson enrolled in Medicare?

No. Paul Anderson has opted out of Medicare through April 1, 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.

What insurance does Paul Anderson accept?

Health plans from Humana and Renaissance Dental list Paul 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 Paul Anderson was last updated on May 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.