Mr Mark Anderson, NP-C in Statesboro, GA - Medicare Nurse Practitioner

Mr Mark Anderson, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Statesboro, Georgia. He graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Privia Medical Group Of Georgia Llc and his current practice location is 112 Hill Pond Ln Ste A, Statesboro, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 259-9633.

Mr Mark Anderson is licensed to practice in Georgia (license number RN220654) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1386112456.

Contact Information

	Mr Mark Anderson, NP-C
	112 Hill Pond Ln Ste A, Statesboro, GA 30458-0872
	(912) 259-9633
	(912) 259-9634

Map and Direction

Provider's Profile

Full Name	Mr Mark Anderson
Gender	Male
Speciality	Nurse Practitioner
Experience	8 Years
Location	112 Hill Pond Ln Ste A, Statesboro, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Mark Anderson graduated from nursing school in 2018

NPI Data:

NPI Number: 1386112456
Provider Enumeration Date: 11/07/2018
Last Update Date: 10/29/2025

Medicare PECOS Information:

PECOS PAC ID: 4880927797
Enrollment ID: I20190607002634

Medical Identifiers

Medical identifiers for Mr Mark Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386112456	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN220654 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Evans Memorial Hospital	Claxton, GA	Hospital
East Georgia Regional Medical Center	Statesboro, GA	Hospital
Candler County Hospital	Metter, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Privia Medical Group Of Georgia Llc	4284951542	411

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Mark Anderson allows following entities to bill medicare on his behalf.

Entity Name	Privia Medical Group Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mark Anderson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Mark Anderson, NP-C 130 Harry Hagan Rd, Pembroke, GA 31321-9670 Ph: (912) 433-4707	Mr Mark Anderson, NP-C 112 Hill Pond Ln Ste A, Statesboro, GA 30458-0872 Ph: (912) 259-9633

Reviews and Comments

Nurse Practitioner Nurses in Statesboro, GA

Mrs. Kacy H. Nesmith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1140 Brampton Ave, Statesboro, GA 30458 Phone: 912-871-2273
Tina L. Hathaway, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 Hill Pond Ln, Statesboro, GA 30458 Phone: 912-681-6944 Fax: 912-681-8744
Mrs. Qian Tang, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Briarwood Rd, Statesboro, GA 30458 Phone: 912-871-5000 Fax: 912-681-1444
Jennifer Reddish Coulter, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1094 Bermuda Run, Statesboro, GA 30458 Phone: 912-681-3111
Mrs. Shelby Jordan Palmerton Graham, MSN, APRN, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 W Altman St, Statesboro, GA 30458 Phone: 912-764-0737
Ms. Connie June Barnett, RN, MSN, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23702 Highway 80 E, Statesboro, GA 30461 Phone: 912-489-4090
Ngoc Nu Banh, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1499 Fair Rd, Statesboro, GA 30458 Phone: 800-301-6254 Fax: 866-301-3007

Mr Mark Anderson, NP-C - Medicare Nurse Practitioner in Statesboro, GA