MRS. MICHELLE ANNMARIE ANDERSON RN
NPI 1972742146
Nurse Practitioner - Psychiatric/Mental Health in Fairburn, GA

Q: What is Michelle Anderson's NPI number?

The NPI number for Michelle Anderson is 1972742146. It was assigned to this individual provider in the NPPES registry on February 11, 2009.

Q: What is Michelle Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Anderson was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since February 11, 2009PECOS EnrolledAccepts Medicare Assignment

115 BLACKTOP DR, FAIRBURN, GA 30213(770) 969-1125 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 24, 2026, Jan 9, 2026, Sep 10, 2024 (3 updates tracked since 2024).

On this page

About Mrs. Michelle Annmarie Anderson Rn NPPES

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

MRS. MICHELLE ANNMARIE ANDERSON RN (NPI 1972742146) is an individual psychiatric/mental health provider in Fairburn, Georgia, licensed in Arizona (336085) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1972742146

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. MICHELLE ANNMARIE ANDERSONCredential: RN

Location Address115 BLACKTOP DRFairburn, GA 30213-4442

Mailing Address115 Blacktop DrFairburn, GA 30213-4442 · (404) 421-0542

Phone(770) 969-1125

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateFebruary 11, 2009

Last NPPES UpdateApril 24, 20263 updates tracked since enumeration

NPPES CertifiedApril 24, 2026

✔ NPI 1972742146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in AZ · 336085

Also ListedRegistered NurseTaxonomy 163W00000X · License RN165519 (GA)

Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X · License RN165519 (GA)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License NP165519 (GA)

115 BLACKTOP DR, Fairburn, GA 30213

Open in Google Maps ↗

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

Mrs. Michelle Annmarie Anderson Rn 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 ID4981187176

PECOS Enrollment IDI20260316003874

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30213 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

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

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 Michelle Anderson's NPI number?

The NPI number for Michelle Anderson is 1972742146. It was assigned to this individual provider in the NPPES registry on February 11, 2009.

Where is Michelle Anderson located?

Michelle Anderson practices at 115 Blacktop Dr, Fairburn, GA 30213. The listed phone number is (770) 969-1125.

What is Michelle Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Michelle Anderson enrolled in Medicare?

Yes. Michelle Anderson 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.

When was this NPI record last updated?

The NPPES record for Michelle Anderson was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.