Andrea Janan Albritton, NP
Individual provider Active NPI Family Nurse Practitioner · Waycross, GA
NPI 1255830907 · NPPES record last updated Feb 27, 2018
Key facts
- NPI
- 1255830907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN159216 (GA)
- Practice address
- 615 Pendleton St Ste 2
Waycross, GA 31501-4724 - Phone
- (912) 285-9994
- NPI assigned
- Feb 8, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ear, Nose, and Throat Clinic of Coffee Co.
Practice addresses (Care Compare)
1703 Bloulevard Square Rd
Waycross, GA 31503
Phone (912) 384-2200
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190116001943 | GA | Practitioner - Nurse Practitioner | 4688910391 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN159216 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincents Ambulatory Care Inc | Current |
Accepting new patients | |
| Ear, Nose and Throat Clinic of Coffee Co. | Current |
Accepting new patients | |
| St Vincent'S Full Service Urgent Care, LLC | Current |
Accepting new patients | |
| St Vincents Ambulatory Care Inc | Current |
Accepting new patients | |
| Westside Surgery Center, LLC | Past | Accepting new patients |
Locations
4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691
312 Westside Dr
Douglas, GA 31533
Phone 9123842200222
1375 E King Ave
Ste A
Kingsland, GA 31548
Phone (912) 576-6865
615 Pendleton St
Ste 2
Waycross, GA 31501
Phone (904) 450-6400
615 Pendleton St
Waycross, GA 31501
Phone (912) 285-9994
1506 Alice St
Waycross, GA 31501
Phone (912) 285-3086
1703 Boulevard Sq
Waycross, GA 31501
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN159216 | GA | Yes |
Addresses
Primary practice location
615 Pendleton St Ste 2
Waycross, GA 31501-4724
Mailing address
4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Other practice location 1
615 Pendleton St
Waycross, GA 31501-4724
Phone (912) 285-9994
Other providers in Waycross, GA
- Affinis Hospice, LLC
- Stanley A Agbulos
- Air Evac EMS, Inc.
- Oladotun Akintomide
- John W Akridge Jr.
- Alison H Alderin
- Blake Darren Aldridge
- Colleen Heather Aldridge
- Kayla Casey Aldridge
- Kelli Alford
All providers in Waycross, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.