NPI age
19 years
Enumerated 2007-02-02
● Active
Type 1 · Individual
Phan Tasco Anderson, PA
Anderson is 1 of 1 physician assistant providers in Kathleen and 1 of 4616 in Georgia.
Primary specialty
Physician Assistant
Licensed in
CO
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-01-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 4616 active physician assistant providers in Georgia.
NPI age
19 years
↑ 11 yr above median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-02Enumerated in NPPES
2007
2026
Where they practice
Practice location
203 Greythorne Dr
Kathleen, GA 310475304
Mailing address
203 Greythorne Dr
Kathleen, GA 310475304
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Practice context
Solo or small practice. No 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 →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.