Individual provider Active NPI

Andrea Elizabeth Pinner, WHNP-BC, ANP-BC

  • Adult Health Nurse Practitioner
  • Augusta, GA
National Provider Identifier
1174916803
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN194511 Issued in GA
Practice address
1348 Walton Way Ste 4300
Augusta, GA 30901-5107
Phone
(706) 461-2155
NPI assigned
Mar 4, 2015
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN194511 GA Primary
Maternal & Fetal Medicine Physician 207VM0101X RN194511 GA

Addresses

Primary practice location

1348 Walton Way Ste 4300
Augusta, GA 30901-5107

Mailing address

7265 Moontown Rd
Appling, GA 30802-2405
Phone (706) 461-2155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Sep 24, 2024 Accepting new patients
Augusta Oncology Associates PC Past Accepting new patients
Janet E. Davis, M.D., P.C. Maternal & Fetal Medicine PastSince Oct 19, 2016 Accepting new patients

Locations

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 458-0809

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

Organizations & group practices 3

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": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1174916803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7265 MOONTOWN RD",
            "city": "APPLING",
            "state": "GA",
            "postal_code": "308022405",
            "telephone_number": "706-461-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 WALTON WAY STE 4300",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309015107",
            "telephone_number": "706-461-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINNER",
        "first_name": "ANDREA",
        "middle_name": "ELIZABETH",
        "credential": "WHNP-BC, ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-04",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN194511",
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "GA",
            "license": "RN194511",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.