CMS-1500 Box 24J / 33a • NPI
1396793642
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
1835P1200X
Licensed & Credentialed Pharmacist, Pharmacotherapy
Box 32 Service Location & ZIP+4
245 GILMER FERRY RD, BALL GROUND, GA, 30107-2908
✓ 9-Digit EDI 837 ZIP+4 (30107-2908)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1396793642 (ROBERT J. ANDERSON, Pharm.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1396793642 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ROBERT J. ANDERSON, Pharm.D. |
| Plain-English Specialty | Licensed & Credentialed Pharmacist, Pharmacotherapy NUCC Code: 1835P1200X (Pharmacist, Pharmacotherapy) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 245 GILMER FERRY RD, BALL GROUND, GA, 30107-2908 |
| Practice Telephone / Fax | Tel: (770) 735-6161 | Fax: (770) 735-6925 |
| Administrative Mailing Address | 2035 MCELROY MOUNTAIN DRIVE, JASPER, GA, 30143 |
| Enumeration & Last Sync | Enumerated: 2006-05-05 | CMS Record Updated: 2026-07-13 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (1835P1200X)
What Does Taxonomy Code 1835P1200X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1835P1200X translates to:
"Licensed & Credentialed Pharmacist, Pharmacotherapy"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ROBERT J. ANDERSON, Pharm.D.)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
1835P1200X — Pharmacist, PharmacotherapyPlain English: Licensed & Credentialed Pharmacist, Pharmacotherapy | State: GA | License: 014892 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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