Active NPI 1073685418 Individual Practitioner Male Practitioner

Dr. Michael George Anderson , MD

Pediatrics • Canton, GA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Anderson, MD is a registered healthcare professional specializing in Pediatrics in Canton, GA. Practice services are available at 391 EAST MAIN STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

391 East Main Street
Historic Hawkins Building

Canton, GA 301142712

Telephone 7707206963

Fax 7707206965

Associated Practice Facility / Clinic

🏢 Northside Children's Pediatric Center, Llc Facility NPI 1396945515

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Canton, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 21.2 Yrs

Regional Practice Density

15 Specialists

Practicing in Canton, GA (2326 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License GA 054532

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

268736326A (GA)

Commercial Insurance / Payer ID Medicaid Payor Id# Employer Northside Children's Pediatrics Ctr, Npi# 1396945515

629697125A (GA)

Commercial Insurance / Payer ID Authorized Contact Representative: Stephanie H. Anderson, Npi#

1609087972 (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Stephanie Anderson , PNP, DNP, RNCS

Nurse Practitioner - Pediatrics

NPI 1609087972

Pediatric Nurse Practitioner, Doctor of Nursing Practice, RNCS

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 01, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location October 01, 2012

Registered at 391 EAST MAIN STREET, HISTORIC HAWKINS BUILDING, CANTON, GA 301142712 (Tel: 7707206963)

📍

Updated Business Mailing Address October 01, 2012

Registered at 391 EAST MAIN STREET, HISTORIC HAWKINS BUILDING, CANTON, GA 301142712 (Tel: 7707206963)

👤

Provider Name / Credentials Updated October 01, 2012

Recorded as MICHAEL ANDERSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2012

Pediatrics (License #054532 in GA)

🟢

Initial NPI Registration & Enumeration November 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073685418

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 14, 2006

Last Update: October 01, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

391 East Main Street, Historic Hawkins Building

Canton, GA 301142712

Phone: 7707206963

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.