P Praxis·MD
● Active Type 1 · Individual

MRS. Michelle Annmarie Anderson, RN

Nurse Practitioner·Fairburn, GA· NPI 1972742146 · Enumerated 2009 · 17 years on NPI
Anderson is 1 of 7 nurse practitioner providers in Fairburn and 1 of 1622 in Georgia.
NPI age
17 years
Enumerated 2009-02-11
Primary specialty
Nurse Practitioner
Plus 3 subspecialties
Licensed in
AZ, GA
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-04-24
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1622 active nurse practitioner providers in Georgia.

NPI age
17 years
↑ 13 yr above median (4 yr)
State licenses
2 states
Top 88% — 12% of peers are multi-state
Subspecialties
3
In the 37% of peers with subspecialties

NPI lifetime · 2009 → 2026

2009-02Enumerated in NPPES
2009 2026

Where they practice

Practice location
115 Blacktop Dr
Fairburn, GA 302134442
📞 7709691125
Mailing address
115 Blacktop Dr
Fairburn, GA 302134442
📞 4044210542

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    AZ license #336085 taxonomy 363LP0808X
  • Nurse Practitioner
    Definition to come...
    GA license #NP165519 taxonomy 363LF0000X
  • Registered Nurse
    Definition to come...
    GA license #RN165519 taxonomy 163WH0200X
  • Registered Nurse
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    GA license #RN165519 taxonomy 163W00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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