Alan Randall Anderson

M.D. | Pediatric Hematology-Oncology | Male

---

Complete Profile:

Alan Randall Anderson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Hematology-Oncology
Provider Name :	Alan Randall Anderson
Credential :	M.D.
Gender :	Male

Business Address:

Alan Randall Anderson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	900 W Faris Rd, 2nd Floor Greenville, SC, 29605-4255 United States
Phone Number :	864-455-8898
Fax Number :	864-241-9237

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1124175146
NPI Entity Type :	Individual
First Enrolment Date :	04 Jan, 2007
Last Updated On :	19 Jul, 2021

Medicare Participation:

Alan Randall Anderson participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3375637457
Medicare Enrollment ID :	I20070920000059
Primary Specialty :	Pediatric Medicine
Medical School :	University Of South Carolina School Of Medicine
Graduation Year :	2001
Accepts Medicare?	Yes. Alan Randall Anderson accepts medicare insurance.

Group Practice Association:

Alan Randall Anderson is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Alan Randall Anderson is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Prisma Health University Medical Group	8325950983	2133	900 W Faris Rd Suite 2 Greenville, SC - 296054255 Ph: 8644558898	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Alan Randall Anderson are as mentioned. Primary taxonomy code for Alan Randall Anderson, M.D. is 2080P0207X (Pediatrics Pediatric Hematology-Oncology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0207X	Pediatrics Pediatric Hematology-Oncology	No	055084	GA
2080P0207X	Pediatrics Pediatric Hematology-Oncology	Yes	24783	SC

Legacy Identifiers:

Other legacy medical identifiers of Alan Randall Anderson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
247833	MEDICAID	SC
576007863054	Other	SC	BCBS

Other Practice Locations:

Practice Address	City, State	Phone Number
3 BUTTERNUT DR STE B, GREENVILLE, SC, 29605-4653 United States	GREENVILLE, SC	864-241-7272

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	300 E Mcbee Ave Fl 4 Greenville, SC, 29601-2842 United States
Phone Number :	864-522-8611

Business Location:

Patients can refer following map for directions to Alan Randall Anderson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.