1366349599 NPI number — ANDERSON PALLIATIVE CARE OF GEORGIA, PC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366349599 NPI number — ANDERSON PALLIATIVE CARE OF GEORGIA, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANDERSON PALLIATIVE CARE OF GEORGIA, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366349599
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/21/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
410 PEACHTREE PKWY STE 4245
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CUMMING
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30041-7407
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
770-501-2181
Provider Business Mailing Address Fax Number:
256-223-7595

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
410 PEACHTREE PKWY, BUILDING 400, STE 4245
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CUMMING
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30041-7407
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-501-2181
Provider Business Practice Location Address Fax Number:
256-223-7595
Provider Enumeration Date:
10/21/2026

Additional Information

Authorized Official

Authorized Official Last Name:
GALBIERZ
Authorized Official First Name:
ANDREW
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT/FOUNDER
Authorized Official Telephone Number:
615-553-7128

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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