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

Mr. Mark Anderson, NP-C

Individual provider Family Nurse Practitioner · NPI 1386112456

Mr. Mark Anderson, NP-C is a Nurse Practitioner in Statesboro, Georgia. Qualified in 2018, 8 years ago. Practices with Privia Medical Group of Georgia LLC, a 450-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2018
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

112 Hill Pond Ln Ste A
Statesboro, GA 30458-0872
Phone: (912) 259-9633
Fax: (912) 259-9634
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN220654 (GA)

Record details

NPI number1386112456
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedNovember 7, 2018
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025
Mailing address130 Harry Hagan Rd, Pembroke, GA 31321-9670

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Privia Medical Group Of Georgia Llc — 450 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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