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

Active since February 11, 2009PECOS Enrolled
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: August 02, 2026.

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

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
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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)

Mrs. Michelle Annmarie Anderson Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 enrollment system.

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 3 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.