NPI age
19 years
Enumerated 2006-11-14
● Active
Type 1 · Individual
DR. Michael George Anderson, MD
Anderson is 1 of 19 pediatrics providers in Canton and 1 of 2726 in Georgia.
Primary specialty
Pediatrics
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-10-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2726 active pediatrics providers in Georgia.
NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Practice location
391 East Main Street, Historic Hawkins Building
Canton, GA 301142712
Mailing address
391 East Main Street, Historic Hawkins Building
Canton, GA 301142712
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 268736326A | |
| 01 (GA) | 629697125A | MEDICAID PAYOR ID# EMPLOYER NORTHSIDE CHILDREN'S PEDIATRICS CTR, NPI# 1396945515 |
| 01 (GA) | 1609087972 | AUTHORIZED CONTACT REPRESENTATIVE: STEPHANIE H. ANDERSON, NPI# |
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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