P Praxis·MD
● Active Type 1 · Individual

Beverly Anderson

Specialist·Lithonia, GA· NPI 1679262364 · Enumerated 2023 · 3 years on NPI
Anderson is 1 of 5 specialist providers in Lithonia and 1 of 250 in Georgia.
NPI age
3 years
Enumerated 2023-05-08
Primary specialty
Specialist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-05-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 250 active specialist providers in Georgia.

NPI age
3 years
↓ 4 yr below median (7 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-05Enumerated in NPPES
2023 2026

Where they practice

Practice location
7173 Covington Hwy Ste F2
Lithonia, GA 300587616
📞 7706965830
Mailing address
2945 Rosebud Rd Apt 406
Loganville, GA 300528951
📞 4044833513

Specialties

  • Specialist Primary
    A case manager who provides services for patients with prosthetics.
    GA license #CO054294 taxonomy 1744P3200X

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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