Individual provider Active NPI

Mary Frances Andrews, FNP-C

  • Family Nurse Practitioner
  • Vidalia, GA
National Provider Identifier
1235658931
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
153075 Issued in GA
Practice address
1608 Meadows Lane Suite 1
Vidalia, GA 30474
Phone
(912) 537-9488
Fax
(912) 537-8951
NPI assigned
Sep 13, 2017
Last updated
Jan 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 153075 GA Primary

Addresses

Primary practice location

1608 Meadows Lane Suite 1
Vidalia, GA 30474

Mailing address

1608 Meadows Lane Suite 1
Vidalia, GA 30474
Phone (912) 537-9488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20180605002111 GA Practitioner - Nurse Practitioner 4486919800 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
153075GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emanuel County Hospital Authority Current Accepting new patients
Emanuel County Hospital Authority CurrentSince May 1, 2022 Accepting new patients
Emanuel County Hospital Authority CurrentSince May 1, 2022 Accepting new patients
Georgia Em-I Medical Services, LLC CurrentSince Feb 9, 2018 Accepting new patients
Georgia Em-I Medical Services PC CurrentSince Feb 9, 2018 Accepting new patients
Georgia Em-I Medical Services. LLC Current Accepting new patients

Locations

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865

117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725

117 Kite Rd
Fl 2
Swainsboro, GA 30401
Phone (478) 289-1150

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.

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1235658931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 MEADOWS LANE SUITE 1",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "30474",
            "telephone_number": "912-537-9488",
            "fax_number": "912-537-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 MEADOWS LANE SUITE 1",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "30474",
            "telephone_number": "912-537-9488",
            "fax_number": "912-537-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "MARY",
        "middle_name": "FRANCES",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "153075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vidalia, GA

Sources for this page

Verify at the official NPI Registry.