Andrea S Hawkins, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1157 Issued in TN

Practice address

6290 Manchester Hwy
Morrison, TN 37357-7589

Phone

(931) 815-1616

Fax

(931) 815-1717

NPI assigned

Oct 30, 2006

Last updated

Mar 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Chattanooga Rehabilitation Associates, PC

  • Physical Medicine & Rehabilitation Physician
  • Chattanooga, TN
  • NPI 1891741971
  NPD (past)
• Chattanooga Spine & Rehabilitation PLLC

  dba Siskin Physical Medicine & Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Chattanooga, TN
  • NPI 1982859187
  NPD (past)

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1205912557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6290 MANCHESTER HWY",
            "city": "MORRISON",
            "state": "TN",
            "postal_code": "373577589",
            "telephone_number": "931-815-1616",
            "fax_number": "931-815-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6290 MANCHESTER HWY",
            "city": "MORRISON",
            "state": "TN",
            "postal_code": "373577589",
            "telephone_number": "931-815-1616",
            "fax_number": "931-815-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "ANDREA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-30",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "1157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4111591",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beth Eudora Laxson Grubbs, CNA
• Melanie Ann Gurley, RN
• Alicia L Hale, LPN
• Christina L Hannah
• Kristy Hanner, LPN
• Lynn Hefner
• Elizabeth M Hendricks
• Kelley Jean Hendrixson
• Janet L Hieber
• Kerry L Hillis, LPN

• Medical Physician Assistant in Morrison, TN
• Providers in Morrison, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.