Individual provider · Type 1 NPI

Derek Miles Anderson, NURSE PRACTITIONER

Nurse Practitioner · Eastman, GA

NPI number 1326659798 Active

Practice location

1120 Indian Dr
Eastman, GA 31023-7670

Mailing address

505 Whittington Way
Peachtree City, GA 30269-3800

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP128292 (GA)

Nurse Practitioner: (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 wit…

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About NPI 1326659798

Derek Miles Anderson, NURSE PRACTITIONER's National Provider Identifier is 1326659798, issued on Aug 11, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Eastman, GA. The record was last updated on Feb 4, 2026.