Andrea M Humphrey, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

67473 Issued in TN

Practice address

529 Medical Dr
Livingston, TN 38570-1880

Phone

(931) 823-9970

Fax

(931) 823-9006

NPI assigned

Sep 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Family Practice

Education

Southern Illinois University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amg-Livingston LLCGroup PAC ID 1052225760, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Livingston Regional Hospital Hospital, Livingston, TN, CCN 440187

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrea.humphrey.1@25766.direct.athenahealth.com

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.

• Amg-Livingston LLC

  • Orthopaedic Surgery Physician
  • Livingston, TN
  • NPI 1699869297
  Medicare reassignment Care Compare group NPD
• Amg - Livingston, LLC

  • Hospitalist Physician
  • Livingston, TN
  • NPI 1134581747
  NPD
• Amg Livingston LLC

  • Advanced Practice Midwife
  • Livingston, TN
  • NPI 1508191909
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Livingston Regional Hospital LLC

  • Rural Acute Care Hospital
  • Livingston, TN
  • NPI 1396760542
  Care Compare affiliation

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1265626105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 MEDICAL DR",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385701880",
            "telephone_number": "931-823-9970",
            "fax_number": "931-823-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 MEDICAL DR",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385701880",
            "telephone_number": "931-823-9970",
            "fax_number": "931-823-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "ANDREA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-102973",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "67473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036102973",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberlee Hudacko
• Heather Huddleston
• Jacklyn Tasha Huff
• Ronald Allen Huitt, PT, CERT. MDT, CSCS
• Jaranda Taige Hummel, ASSISTANT
• Ias Tennessee PLLC
• Impact Courier Services, LLC
• Impact Transportation, LLC
• Internal Medicine at the Livingston Clinic
• Cinthia Liliana Jasper, LMT

• Family Medicine Physician in Livingston, TN
• Providers in Livingston, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.