Individual provider Active NPI

Raynon Antoine Andrews, M.D.

  • Family Medicine Physician
  • Huntsville, AL
National Provider Identifier
1174694244
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
000024811 Issued in AL
Practice address
6971 Research Park Blvd NW
Ste a
Huntsville, AL 35806-3027
Phone
(256) 851-8433
NPI assigned
Nov 12, 2006
Last updated
Sep 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 000024811 AL Primary

Addresses

Primary practice location

6971 Research Park Blvd NW
Ste a
Huntsville, AL 35806-3027

Mailing address

6971 Research Park Blvd NW
Ste a
Huntsville, AL 35806-3027
Phone (256) 851-8433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040120000986 AL Practitioner - Family Practice 7416858592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6971 Research Park Blvd NW
Suite a
Huntsville, AL 35806-3027
Phone (256) 489-8650

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
000024811ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raynon a. Andrews, MD, PC CurrentSince Mar 24, 2004 Accepting new patients

Locations

1878 Jeff Rd NW
Ste A
Huntsville, AL 35806
Phone (256) 489-8650

6971 Research Park Blvd NW
Ste A
Huntsville, AL 35806
Phone (256) 489-8606

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18217/brand/1/csg/1/fhir/r4
  • Direct secure messaging: raynon.andrews.1@18217.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Enhabit Hospice of HuntsvilleMadison, AL, CCN 011682 Hospice W-2 Managing Employee Mar 12, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1174694244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6971 RESEARCH PARK BLVD NW",
            "address_2": "STE A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358063027",
            "telephone_number": "256-851-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6971 RESEARCH PARK BLVD NW",
            "address_2": "STE A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358063027",
            "telephone_number": "256-851-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "RAYNON",
        "middle_name": "ANTOINE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-12",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "000024811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.