Individual provider Active NPI

Audie Granville Swinney, MD

  • Family Medicine Physician
  • Henryetta, OK
National Provider Identifier
1215970959
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15117 Issued in OK
Practice address
28870 South Dewey Bartlett Ave
Henryetta, OK 74437
Phone
(918) 652-2513
Fax
(918) 652-7884
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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 15117 OK Primary

Addresses

Primary practice location

28870 South Dewey Bartlett Ave
Henryetta, OK 74437

Mailing address

P.O. Box 339
Henryetta, OK 74437-0339
Phone (918) 652-2513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20061103000252 OK Practitioner - Family Practice 1951307214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

28870 Dewey Bartlett Ave
Henryetta, OK 74437-6808
Phone (918) 652-2513

PO Box
Suite 339
Henryetta, OK 74437-0339

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions48
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
A G Swinney MD Inc Family Medicine CurrentSince Nov 3, 2006 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

28870 Dewey Bartlett Ave
Henryetta, OK 74437
Phone (918) 652-2513

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1215970959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 339",
            "city": "HENRYETTA",
            "state": "OK",
            "postal_code": "744370339",
            "telephone_number": "918-652-2513",
            "fax_number": "918-652-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28870 SOUTH DEWEY BARTLETT AVE",
            "city": "HENRYETTA",
            "state": "OK",
            "postal_code": "74437",
            "telephone_number": "918-652-2513",
            "fax_number": "918-652-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINNEY",
        "first_name": "AUDIE",
        "middle_name": "GRANVILLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "15117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henryetta, OK

Sources for this page

Verify at the official NPI Registry.