Philip Andrews, ARNP C

Individual provider Active NPI Nurse Practitioner · Chattanooga, TN

NPI 1164501490 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1164501490
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
RN0000126050 (TN)
Practice address
6141 Shallowford Rd
Chattanooga, TN 37421
Phone
(423) 899-2700
Fax
(423) 899-2703
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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 2

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
University of Florida College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chattanooga Skin and Cancer Clinic (13 clinicians)

Practice addresses (Care Compare)

6061 Shallowford Rd
Chattanooga, TN 37421-1688
Phone (423) 899-2700

Hospital & facility affiliations

  • Memorial Healthcare System, Inc Hospital · Chattanooga, TN · CCN 440091

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100 (apm)
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120222000651 TN Practitioner - Nurse Practitioner 7416115423 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN0000126050TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Skin & Cancer Clinic Current
since Oct 1, 2002
Accepting new patients

Locations

6141 Shallowford Rd
Chattanooga, TN 37421
Phone (423) 498-2000

6061 Shallowford Rd
Chattanooga, TN 37421
Phone (423) 899-2700

3891 Adkisson Dr NW
Cleveland, TN 37312
Phone (423) 479-8648

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN0000126050 TN Yes

Addresses

Primary practice location

6141 Shallowford Rd
Chattanooga, TN 37421

Mailing address

6141 Shallowford Rd
Chattanooga, TN 37421
Phone (423) 899-2700

Other identifiers

IdentifierTypeStateIssuer
4056282OtherTNBCBS

Other providers in Chattanooga, TN

All providers in Chattanooga, TN · Nurse Practitioner in Tennessee

Sources for this page

Verify at the official NPI Registry.