Jeb Andrews, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

103418 Issued in NC

Practice address

2509 Broadmoor Blvd
Ste B
Monroe, LA 71201

Phone

(878) 381-3823

NPI assigned

Aug 26, 2006

Last updated

Aug 2, 2020By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

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• Hickory Long Term Care

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• John Keith Earl

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• William Lee Young III

  • Family Medicine Physician
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  • NPI 1629186143
  NPD (past)

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596326400000",
    "number": "1174631642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 BROADMOOR BLVD",
            "address_2": "STE B",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013184",
            "telephone_number": "878-381-3823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 BROADMOOR BLVD",
            "address_2": "STE B",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "878-381-3823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "JEB",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2020-08-02",
        "certification_date": "2020-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Anderson
• Shelia Anderson
• Tony Anderson
• Towanna Anderson, LPC-S
• Sheldon M. Andeson, O.D.
• Laurel Andrews, PHARM.D.
• Macie S. Andrews
• Nancy Andrews, NP
• Patsy Andrews, BSW,MSW
• Rachel L Andrews, M.S., CCC-SLP

• Physician Assistant in Monroe, LA
• Providers in Monroe, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.