Individual provider Active NPI

Andrew Lee Bridges, FNP-C

  • Family Nurse Practitioner
  • Augusta, GA
National Provider Identifier
1174118699
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN262662 Issued in GA
Practice address
1631 Gordon Hwy Ste 17a
Augusta, GA 30906-2229
Phone
(706) 230-7006
Fax
(762) 257-7442
NPI assigned
Mar 5, 2021
Last updated
Apr 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN262662 GA Primary

Addresses

Primary practice location

1631 Gordon Hwy Ste 17a
Augusta, GA 30906-2229

Mailing address

PO Box 740015
Atlanta, GA 30374-0015
Phone (312) 733-9730

Other practice location 1

2500 University Dr
Thomson, GA 30824-0040
Phone (706) 595-1186

Other practice location 2

325 Georgia Ave Ste 200
North Augusta, SC 29841-3848
Phone (803) 442-5750

Other practice location 3

1120 15th St
Augusta, GA 30912-3848
Phone (706) 721-8623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210504000730 GA Practitioner - Nurse Practitioner 3375952385 Reassigns benefits to 1 organization
I20220602000335 SC Practitioner - Nurse Practitioner 3375952385 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Associates Inc CurrentSince Nov 29, 2023 Accepting new patients
University Primary Care Current Accepting new patients
University Medical Group LLC CurrentSince Jun 1, 2022 Accepting new patients
Au Medical Associates Inc CurrentSince Nov 29, 2023 Accepting new patients
Umg Primary Care South Carolina, LLC CurrentSince Jun 6, 2022 Accepting new patients
University Medical Group LLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1120 15th St
#6000
Augusta, GA 30912
Phone (706) 721-3813

1631 Gordon Hwy
Ste 17A
Augusta, GA 30906
Phone (706) 230-7006

820 Saint Sebastian Way
Ste 4C
Augusta, GA 30901
Phone (706) 774-5997

925 Branch Ct
Ste 201
Grovetown, GA 30813
Phone (706) 288-3377

604 Ware St
Thomson, GA 30824
Phone (706) 595-1186

1023 Silver Bluff Rd
Aiken, SC 29803
Phone (803) 502-5515

325 Georgia Ave
Ste 100
North Augusta, SC 29841
Phone (803) 202-3351

325 Georgia Ave
Ste 200
North Augusta, SC 29841
Phone (803) 202-3351

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1174118699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740015",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740015",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 GORDON HWY STE 17A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309062229",
            "telephone_number": "706-230-7006",
            "fax_number": "762-257-7442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 University Dr",
            "address_purpose": "LOCATION",
            "city": "Thomson",
            "state": "GA",
            "postal_code": "308240040",
            "country_code": "US",
            "telephone_number": "706-595-1186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Georgia Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298413848",
            "country_code": "US",
            "telephone_number": "803-442-5750",
            "fax_number": "806-442-5751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 15th St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309123848",
            "country_code": "US",
            "telephone_number": "706-721-8623",
            "fax_number": "706-721-1459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "ANDREW",
        "middle_name": "LEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-05",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN262662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.