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Active NPI 1316640238 Individual Practitioner Female Practitioner

Shauntile Anderson , NP

Nurse Practitioner • Waycross, GA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Shauntile Anderson, NP is a certified Nurse Practitioner practicing in Waycross, GA. With approximately 4 years of clinical experience since completing medical education in 2022, Shauntile Anderson delivers high-quality medical care to the local community at 1007 MARY ST.

Shauntile Anderson maintains professional affiliations with Christopher Dennis Md Pllc, At Home Palliative Care, Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

1007 Mary St

Waycross, GA 315033823

Telephone 9124497111
Fax 9124497060
Associated Practice Facility / Clinic
🏢 Bobby Bennett Host Home Facility NPI 1639495682

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Waycross, GA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -3.6 yrs vs City Avg
City Avg: 7.6 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
27 Specialists

Practicing in Waycross, GA (3149 Statewide)

Telehealth Adoption Rate
7.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Anderson (4 Years) 4 Yrs
Waycross Specialty Average (7.6 Years) 7.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-03-22
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA RN270925

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

At Home Palliative Care, Llc

None, Brunswick, GA 31525

Phone: 9042222273

Christopher Dennis Md Pllc

11340 Lakefield Dr, Johns Creek, GA 300972456

Phone: 8885153834

At Home Palliative Care, Llc

263 River Hills Dr, Jacksonville, FL 322168980

Phone: 9042222273

Secondary Practice Locations

3455 Harris Rd

Waycross, GA 315038960

Phone: 9124497100

Practice Associates & Co-Workers

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

12 Associated Practitioners
Stacie Norman , LAPC

Counselor - Professional

NPI 1043703416
Sandra Daniels , LPN

Licensed Practical Nurse

NPI 1215166558

Licensed Practical Nurse

Krystal Robinson , LMFT

Marriage & Family Therapist

NPI 1306419866

Licensed Marriage and Family Therapist

Judy Counce , RN

Registered Nurse

NPI 1346479680

Registered Nurse

Jeannie Murray , LCSW

Social Worker - Clinical

NPI 1356212070

Licensed Clinical Social Worker

NPI 1437400827

Licensed Master Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 22, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 22, 2023

Registered at 1007 MARY ST, WAYCROSS, GA 315033823 (Tel: 9124497111)

📍
Updated Business Mailing Address March 22, 2023

Registered at 1007 MARY ST, WAYCROSS, GA 315033823 (Tel: 9124497111)

👤
Provider Name / Credentials Updated March 22, 2023

Recorded as SHAUNTILE ANDERSON, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2023

Nurse Practitioner (License #RN270925 in GA)

🟢
Initial NPI Registration & Enumeration March 22, 2023

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: 1316640238
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2023
Last Update: March 22, 2023
Sole Proprietor: No

Mailing Address

1007 Mary St

Waycross, GA 315033823

Phone: 9124497111

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.