Individual provider Active NPI

Andrea Janan Albritton, NP

  • Family Nurse Practitioner
  • Waycross, GA
National Provider Identifier
1255830907
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN159216 Issued in GA
Practice address
615 Pendleton St Ste 2
Waycross, GA 31501-4724
Phone
(912) 285-9994
NPI assigned
Feb 8, 2018
Last updated
Feb 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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 RN159216 GA Primary

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

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
I20190116001943 GA Practitioner - Nurse Practitioner 4688910391 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
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.Group PAC ID 4486698578, 11 clinicians

Practice addresses (Care Compare)

1703 Bloulevard Square Rd
Waycross, GA 31503
Phone (912) 384-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc CurrentSince Jan 26, 2019 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Jan 26, 2019 Accepting new patients
St Vincent's Full Service Urgent Care, LLC CurrentSince Sep 2, 2018 Accepting new patients
Ear, Nose and Throat Clinic of Coffee Co. CurrentSince Jul 12, 2021 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

1506 Alice St
Waycross, GA 31501
Phone (912) 285-3086

1703 Boulevard Sq
Waycross, GA 31501

615 Pendleton St
Waycross, GA 31501
Phone (912) 285-9994

615 Pendleton St
Ste 2
Waycross, GA 31501
Phone (904) 450-6400

Organizations & group practices 5

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": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1255830907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PENDLETON ST STE 2",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014724",
            "telephone_number": "912-285-9994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 Pendleton St",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315014724",
            "country_code": "US",
            "telephone_number": "912-285-9994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALBRITTON",
        "first_name": "ANDREA",
        "middle_name": "JANAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN159216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

Verify at the official NPI Registry.