Individual provider Active NPI

Andrew Haas McDermott, PA-C

  • Physician Assistant
  • Pascagoula, MS
National Provider Identifier
1225226517
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00102 Issued in MS
Practice address
2809 Denny Ave
Pascagoula, MS 39581-5301
Phone
(228) 809-5000
NPI assigned
Oct 11, 2007
Last updated
May 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00102 MS Primary

Addresses

Primary practice location

2809 Denny Ave
Pascagoula, MS 39581-5301

Mailing address

1708 Denny Ave
Pascagoula, MS 39567-3303
Phone (228) 471-2273

Other practice location 1

3109 Bienville Blvd
Ocean Springs, MS 39564-4361
Phone (228) 818-1111

Other practice location 2

15200 Community Rd
Gulfport, MS 39503-3085
Phone (228) 575-7000

Other practice location 3

1708 Denny Ave
Pascagoula, MS 39567-3303
Phone (228) 471-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080602000430 MS Practitioner - Physician Assistant 0042380164 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Health Urgicare, IncGroup PAC ID 6709008659, 8 clinicians

Practice addresses (Care Compare)

4211 Hospital St
Pascagoula, MS 39581-5310
Phone (228) 471-2273

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.53 of 100Reported as group
Quality
69.06
Promoting interoperability
81
Improvement activities
40
Cost
83.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA00102MSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi Em-I Medical Services PC Physician Assistant Past Accepting new patients

Organizations & group practices 6

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 3

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": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1225226517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 DENNY AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395673303",
            "telephone_number": "228-471-2273",
            "fax_number": "228-471-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 DENNY AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815301",
            "telephone_number": "228-809-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3109 Bienville Blvd",
            "address_purpose": "LOCATION",
            "city": "Ocean Springs",
            "state": "MS",
            "postal_code": "395644361",
            "country_code": "US",
            "telephone_number": "228-818-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15200 Community Rd",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395033085",
            "country_code": "US",
            "telephone_number": "228-575-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1708 Denny Ave",
            "address_purpose": "LOCATION",
            "city": "Pascagoula",
            "state": "MS",
            "postal_code": "395673303",
            "country_code": "US",
            "telephone_number": "228-471-2273",
            "fax_number": "228-471-2012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "ANDREW",
        "middle_name": "HAAS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "PA00102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

Verify at the official NPI Registry.