NPI age
6 years
Enumerated 2020-02-07
● Active
Type 1 · Individual
Emanuel Malik Anderson
Anderson is 1 of 4 community/behavioral health providers in Fort Valley and 1 of 2449 in Georgia.
Primary specialty
Community/Behavioral Health
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2020-02-07
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 2449 active community/behavioral health providers in Georgia.
NPI age
6 years
↓ 7 yr below median (13 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties
NPI lifetime · 2020 → 2026
2020-02Enumerated in NPPES
2020
2026
Where they practice
Practice location
410 E Church St
Fort Valley, GA 310303097
Mailing address
410 E Church St
Fort Valley, GA 310303097
Specialties
-
Community/Behavioral Health PrimaryA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
Practice context
Part of a multi-provider practice. 16 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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