Individual provider Active NPI

Andrea Pittman Dunn, MD

  • Family Medicine Physician
  • Athens, AL
National Provider Identifier
1013476951
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.43999 Issued in AL
Practice address
22454 US Highway 72 Ste 310
Athens, AL 35613-2678
Phone
(256) 216-9744
Fax
(256) 216-9754
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.43999 AL Primary

Addresses

Primary practice location

22454 US Highway 72 Ste 310
Athens, AL 35613-2678

Mailing address

700 Dorothy Ford LN SW Apt 108
Huntsville, AL 35801-7503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220824000991 AL Practitioner - Family Practice 6305277922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Community CareGroup PAC ID 9739598897, 4 clinicians

Practice addresses (Care Compare)

22454 US Hwy 72
Suite 310
Athens, AL 35613-2678
Phone (256) 216-9744

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Moulton, AL, CCN 017071
  • Athens-Limestone Homecare Home health agency, Athens, AL, CCN 017095
  • Athens Limestone Hospital Hospital, Athens, AL, CCN 010079
  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.43999ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Community Care Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
Pathway Healthcare Alabama LLC CurrentSince Aug 1, 2022 Accepting new patients
HH Health System - Athens Limestone, LLC Past Accepting new patients

Locations

1005 W Market St
Ste 7
Athens, AL 35611
Phone (256) 216-9744

22454 US Highway 72
Ste 310
Athens, AL 35613
Phone (256) 216-9744

Networks

  • MS PPO
  • MS PPO C-SNP
  • MS PPO D-SNP

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1013476951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 DOROTHY FORD LN SW APT 108",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22454 US HIGHWAY 72 STE 310",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132678",
            "telephone_number": "256-216-9744",
            "fax_number": "256-216-9754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "ANDREA",
        "middle_name": "PITTMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.43999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

Verify at the official NPI Registry.