ANNE-MARIE ADDLETON APRN
NPI 1912623646
Nurse Practitioner in Evans, GA

Active since October 14, 2022PECOS EnrolledAccepts Medicare Assignment
98.5/100
CMS Quality Rating
4720 WASHINGTON RD, EVANS, GA 30809(706) 854-3410 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2025, Nov 30, 2022, Oct 14, 2022 (3 updates tracked since 2022).

About Anne-marie Addleton Aprn NPPES

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

ANNE-MARIE ADDLETON APRN (NPI 1912623646) is an individual nurse practitioner in Evans, Georgia, licensed in Georgia (GAA-NP000982) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1912623646
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameANNE-MARIE ADDLETONCredential: APRN
Location Address4720 WASHINGTON RDEvans, GA 30809-5875
Mailing AddressPo Box 1705Augusta, GA 30903-1705 · (706) 854-3410
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 14, 2022
Last NPPES UpdateOctober 9, 20253 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
NPI 1912623646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in GA · GAA-NP000982
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4720 WASHINGTON RD, Evans, GA 30809

Accepted Insurance

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

Anne-marie Addleton Aprn 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 ID3971973694
PECOS Enrollment IDI20221221001151
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
254 services184 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
248 services179 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
201 services146 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
103 services80 patients
Creatinine level to test for kidney function or muscle injury 82570
A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.
53 services53 patients
Urine microalbumin (protein) level 82043
The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.
34 services34 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110028
Location1350 Walton WayAugusta, GA 30901 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30809 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Family)
4720 WASHINGTON RD
EVANS, GA 30809
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4720 WASHINGTON RD
EVANS, GA 30809
Internal Medicine
4720 WASHINGTON RD
EVANS, GA 30809
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4720 WASHINGTON RD
EVANS, GA 30809
Physician Assistant
4720 WASHINGTON RD
EVANS, GA 30809
Dietitian, Registered
4720 WASHINGTON RD
EVANS, GA 30809
Physician Assistant
4720 WASHINGTON RD
EVANS, GA 30809
Family Medicine
4720 WASHINGTON RD
EVANS, GA 30809

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 Anne-marie Addleton's NPI number?

The NPI number for Anne-marie Addleton is 1912623646. It was assigned to this individual provider in the NPPES registry on October 14, 2022.

Where is Anne-marie Addleton located?

Anne-marie Addleton practices at 4720 Washington Rd, Evans, GA 30809. The listed phone number is (706) 854-3410.

What is Anne-marie Addleton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Anne-marie Addleton enrolled in Medicare?

Yes. Anne-marie Addleton 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.

What insurance does Anne-marie Addleton accept?

Health plans from Alliant Health Plans, Inc. list Anne-marie Addleton 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.

Is Anne-marie Addleton affiliated with any hospitals?

According to CMS data, Anne-marie Addleton is affiliated with Piedmont Augusta Hospital.

When was this NPI record last updated?

The NPPES record for Anne-marie Addleton was last updated on October 9, 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.