Individual provider Active NPI

Andrew Dean Magnet, MD, PHD

  • Internal Medicine Physician
  • Fernandina Beach, FL
National Provider Identifier
1063411601
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME117368 Issued in FL
Practice address
505 Crosswind Dr
Fernandina Beach, FL 32034-2777
Phone
(912) 677-7739
NPI assigned
Jul 16, 2005
Last updated
Jun 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 060215 GA
Internal Medicine Physician 207R00000X ME117368 FL Primary
Hospitalist Physician 208M00000X 060215 GA

Addresses

Primary practice location

505 Crosswind Dr
Fernandina Beach, FL 32034-2777

Mailing address

2000 Dan Proctor Dr
Saint Marys, GA 31558-3810
Phone (912) 576-6200

Other practice location 1

400 Cedar St
Metter, GA 30439-3338
Phone (912) 685-6403

Other identifiers 3

IdentifierTypeStateIssuer
G60215MedicaidSC
P00609438OtherGARR MEDICARE
220002667AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080520000229 GA Practitioner - Internal Medicine 7911000518 Reassigns benefits to 7 organizations
I20130924000693 FL Practitioner - Internal Medicine 7911000518 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Virginia Commonwealth University, School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southland Bainbridge Hospitalist Group, LLCGroup PAC ID 7214248335, 54 clinicians
Doctors to Go LLCGroup PAC ID 4688114416, 17 clinicians
Cooperative Healthcare Services IncGroup PAC ID 9830093640, 235 clinicians
Southland Optim Screven Emergency Medical Services LLCGroup PAC ID 9739480021, 19 clinicians

Practice addresses (Care Compare)

1500 E Shotwell St
Bainbridge, GA 39819-4256
Phone (229) 236-0831

200 N River St
Claxton, GA 30417-1659
Phone (912) 739-5000

2000 Dan Proctor Dr
Saint Marys, GA 31558-3810
Phone (912) 576-6200

2415 Parkwood Dr
Brunswick, GA 31520-4722
Phone (912) 466-4079

247 S Main St
Reidsville, GA 30453-4605
Phone (912) 557-1000

400 Cedar St
Metter, GA 30439-3338
Phone (912) 685-5741

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
55.58 of 100Reported as group
Quality
51.64
Improvement activities
0
Cost
70.16

Merit-based Incentive Payment System (MIPS)

Final score
76.36 of 100Reported as group
Quality
46.72
Promoting interoperability
99
Improvement activities
40
Cost
75.31

National Provider Directory

National Provider Directory
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, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
ME117368FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Optim Screven Emergency Medical Services LLC CurrentSince Oct 1, 2018 Accepting new patients
Doctors to Go, LLC Hospitalist CurrentSince Jun 9, 2024 Accepting new patients
Assure Health Medical Group PA Internal Medicine CurrentSince Jun 15, 2020 Accepting new patients
Hospital Authority of Candler County CurrentSince May 1, 2019 Accepting new patients
Chatham Hosptialists, LLC Internal Medicine CurrentSince Mar 1, 2014 Accepting new patients
Southland Bainbridge Hospitalist Group, LLC Hospitalist CurrentSince Jan 1, 2017 Accepting new patients
Cooperative Healthcare Services Inc Internal Medicine CurrentSince Mar 1, 2016 Accepting new patients
Hospital Authority of Candler County Current Accepting new patients
Southland Behavioral Health Services LLC Hospitalist CurrentSince May 1, 2020 Accepting new patients
Hospital Authority of Candler County CurrentSince May 1, 2019 Accepting new patients
Amelia Express Care, LLC CurrentSince Jan 14, 2020 Accepting new patients
Southeast Georgia Health System, Inc. Past Accepting new patients
Amelia Express Care, LLC PastSince Jan 14, 2020 Accepting new patients
Wills Memorial Emergency Medical Services, LLC Past Accepting new patients

Locations

6001 Broken Sound Pkwy NW
Ste 418
Boca Raton, FL 33487
Phone (561) 699-3866

1987 S 8th St
Fernandina Beach, FL 32034
Phone (904) 624-7003

501 E Las Olas Blvd
Fort Lauderdale, FL 33301

501 E Las Olas Blvd
Ste 200300
Ft Lauderdale, FL 33301
Phone (561) 699-3866

4500 N State Road 7
Ste 102
Lauderdale Lakes, FL 33319
Phone (301) 541-7714

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

200 N River St
Claxton, GA 30417
Phone (912) 739-2611

462 Elma G Miles Pkwy
Hinesville, GA 31313
Phone (888) 829-0068

400 Cedar St
Metter, GA 30439
Phone (912) 685-1726

247 S Main St
Reidsville, GA 30453
Phone (912) 557-1207

2000 Dan Proctor Dr
Saint Marys, GA 31558
Phone (912) 576-6160

5354 Reynolds St
Ste 424
Savannah, GA 31405
Phone (912) 819-5999

633 Stephenson Ave
Savannah, GA 31405
Phone (912) 351-3590

215 Mims Rd
Sylvania, GA 30467
Phone (912) 557-1207

100 S Madison St
Thomasville, GA 31792
Phone (229) 221-9552

2209 Pineview Dr
Valdosta, GA 31602
Phone (229) 247-4357

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/6996dfed-5d48-4d59-8b7b-8bd86c9887c0/

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1121472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1063411601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 DAN PROCTOR DR",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583810",
            "telephone_number": "912-576-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 CROSSWIND DR",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320342777",
            "telephone_number": "912-677-7739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Cedar St",
            "address_purpose": "LOCATION",
            "city": "Metter",
            "state": "GA",
            "postal_code": "304393338",
            "country_code": "US",
            "telephone_number": "912-685-6403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGNET",
        "first_name": "ANDREW",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-16",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "060215",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME117368",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "060215",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G60215",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00609438",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220002667A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

Verify at the official NPI Registry.