Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evelyn Anita Anderson

Individual provider Pediatric Skilled Nursing Facility · NPI 1295342731

Evelyn Anita Anderson is a Pediatric Skilled Nursing Facility in Grantville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2020

Practice location Address checks out

202 Charlie Fuller Rd
Grantville, GA 30220-2801
Phone: (770) 927-2290
Fax: (404) 522-2935
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Skilled Nursing Facility (primary) Taxonomy 3140N1450X · Licence 113357 (GA)

Record details

NPI number1295342731
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 29, 2020
Last updated in NPPESSeptember 29, 2020
Certification dateSeptember 29, 2020