Ryan Kenneth Andrews, FNP
Individual provider Active NPI Family Nurse Practitioner · Augusta, GA
NPI 1124542295 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1124542295
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN271430 (GA)
- Practice address
- 1350 Walton Way
Augusta, GA 30901 - Phone
- (706) 774-2176
- NPI assigned
- Aug 1, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180111000229 | GA | Practitioner - Nurse Practitioner | 6507125952 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 732608 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Peach State Emergency Physicians LLC | Current |
Accepting new patients | |
| Wellstar Medical Group, LLC | Current |
Accepting new patients | |
| Acs Primary Care Physicians - Southeast PC | Current |
Accepting new patients |
Locations
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011
2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000
4244 Washington Rd
Evans, GA 30809
Phone (706) 619-1869
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792
2460 Washington Rd
Thomson, GA 30824
Phone (706) 595-1411
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 732608 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | TX | ||
| Family Nurse Practitioner | 363LF0000X | RN271430 | GA | Yes |
Addresses
Primary practice location
1350 Walton Way
Augusta, GA 30901
Mailing address
5443 Everlook Circle
Evans, GA 30809
Phone (281) 723-8011
Other practice location 1
18500 Katy Fwy
Houston, TX 77094-1110
Phone (832) 522-1800
Other providers in Augusta, GA
- William Grove Anderson
- Alexandra Jordan Andrade
- Amanda Jane Andrews
- Ericka Tywan Andrews
- Lee J Andrews II
- Anesthesia and Pain Medicine
- Anesthesia Consultants of Augusta, LLC
- Anesthesia Resources of Augusta, LLC
- Sheryl Siok Hoon Ang
- Angel'S Care Personal Care Home LLC
All providers in Augusta, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.