Andrea Sarah Mendelsohn, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

32530 Issued in SC

Practice address

3627 Maybank Hwy
Johns Island, SC 29455-4825

Phone

(843) 559-3676

Fax

(843) 559-9066

NPI assigned

Jun 11, 2007

Last updated

Nov 10, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Fetter Health Care Network, Inc.

  dba Fetter Health Care Network-Downtown Site

  • Federally Qualified Health Center (FQHC)
  • Charleston, SC
  • NPI 1003827304
  Medicare reassignment NPD
• Fetter Health Care Network Inc

  dba Fetter Health Care Network-Summerville Site

  • Federally Qualified Health Center (FQHC)
  • Summerville, SC
  • NPI 1982718425
  NPD
• Fetter Health Care Network, Inc

  dba Thaddeus J. Bell, MD Vision Center

  • Federally Qualified Health Center (FQHC)
  • Summerville, SC
  • NPI 1174378707
  NPD

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1053514695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 NASSAU ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 MAYBANK HWY",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554825",
            "telephone_number": "843-559-3676",
            "fax_number": "843-559-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDELSOHN",
        "first_name": "ANDREA",
        "middle_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "32530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Elizabeth Powell Martz, DPT
• Darlene E Mathis, RPH
• Malori Mattimore, DC
• Elizabeth Lambert McLeod, OTR/L
• Vanessa Lee McPherson, MD
• Stacy Ann Messersmith, FNP
• Meye Vision Care and Eyeware (Village Optical)
• Modern Chiropractic Health Center Inc
• Kathy Gray Moock, R.N.
• Eloise Moore, PA-C

• Family Medicine Physician in Johns Island, SC
• Providers in Johns Island, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.