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

Simone Marie Anderson

Individual provider Family Nurse Practitioner · NPI 1184176356

Simone Marie Anderson is a Nurse Practitioner in Atlanta, Georgia. Qualified in 2015, 11 years ago. Accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
11
Licensed in
GA
In the registry since
2016

Practice location Address checks out

1203 Cleveland Ave
Atlanta, GA 30344-3417
Phone: (404) 755-2291
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 APRN-NP204839 (GA)

Record details

NPI number1184176356
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 3, 2016
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025
Mailing address3426 Fieldstone Trce, Ellenwood, GA 30294-6307

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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