P Praxis·MD
● Active Type 1 · Individual

Evelyn Anita Anderson

Skilled Nursing Facility·Grantville, GA· NPI 1295342731 · Enumerated 2020 · 5 years on NPI
Anderson is 1 of 1 skilled nursing facility providers in Grantville and 1 of 20 in Georgia.
NPI age
5 years
Enumerated 2020-09-29
Primary specialty
Skilled Nursing Facility
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-09-29
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 20 active skilled nursing facility providers in Georgia.

NPI age
5 years
↓ 7 yr below median (12 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-09Enumerated in NPPES
2020 2026

Where they practice

Practice location
202 Charlie Fuller Rd
Grantville, GA 302202801
📞 7709272290fax 4045222935
Mailing address
202 Charlie Fuller Rd
Grantville, GA 302202801
📞 7709272290fax 4045222935

Specialties

  • Skilled Nursing Facility Primary
    A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in...
    GA license #113357 taxonomy 3140N1450X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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