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LANCE CHRISTIAN ANDERSON
NPI 1902657356
Student in an Organized Health Care Education/Training Program in Marietta, GA

Active since April 01, 2024PECOS Enrolled
115 CHERRY ST NE, MARIETTA, GA 30060(770) 793-5700 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2024, Apr 1, 2024 (2 updates tracked since 2024).

About Lance Christian Anderson NPPES

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

LANCE CHRISTIAN ANDERSON (NPI 1902657356) is an individual student in an organized health care education/training program in Marietta, Georgia and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902657356
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLANCE CHRISTIAN ANDERSON
Location Address115 CHERRY ST NEMarietta, GA 30060-7205
Mailing Address1045 Old Peachtree Rd Nw Apt 2223Suwanee, GA 30024-5067 · (434) 942-9145
Phone(770) 793-5700
Sole ProprietorNo
Enumeration DateApril 1, 2024
Last NPPES UpdateApril 23, 20242 updates tracked since enumeration
NPPES CertifiedApril 23, 2024
✔ NPI 1902657356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
115 CHERRY ST NE, Marietta, GA 30060
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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 (PECOS)

Lance Christian Anderson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 15

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

THOMAS BRADFORD GENTLE PA-C
Physician Assistant
115 CHERRY ST NE
MARIETTA, GA 30060
Cobb County (256) 612-8778
MICHELLE ELIZABETH DEHAVEN
Emergency Medicine
115 CHERRY ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5700
VIKTORIYA PETROVNA CARNEY
Nurse Practitioner (Acute Care)
115 CHERRY ST NE
MARIETTA, GA 30060
Cobb County (470) 267-9541
DANIEL CHA MD
Student in an Organized Health Care Education/Training Program
115 CHERRY ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5700
ALMIR AGIC PA-C
Physician Assistant
115 CHERRY ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5700
KENNESTONE HOSPITAL, INC
Pharmacy (Clinic Pharmacy)
115 CHERRY ST NE
MARIETTA, GA 30060
Cobb County (470) 644-0328
ANDREW NA DO
Emergency Medicine
115 CHERRY ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5700
CATHERINE BROOKE SANDERS-GIDDENS MD
Student in an Organized Health Care Education/Training Program
115 CHERRY ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5700

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 Lance Anderson's NPI number?

The NPI number for Lance Anderson is 1902657356. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Lance Anderson located?

Lance Anderson practices at 115 Cherry St NE, Marietta, GA 30060. The listed phone number is (770) 793-5700.

What is Lance Anderson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Lance Anderson enrolled in Medicare?

Yes. Lance Anderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lance Anderson was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.