Individual provider Active NPI

Gregory A Andrews, MD ABPM ABFM FASAM

  • Addiction Medicine (Preventive Medicine) Physician
  • Erie, PA
National Provider Identifier
1295716298
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
License
MD425417 Issued in PA
Practice address
Andrews Institute for Addiction Treatment, LLC
4402 Peach St., Suite 4
Erie, PA 16509
Phone
(814) 616-0075
Fax
(814) 281-5956
NPI assigned
Nov 8, 2005
Last updated
Jun 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X MD425417 PA
Addiction Medicine (Preventive Medicine) Physician 2083A0300X MD425417 PA Primary

Addresses

Primary practice location

Andrews Institute for Addiction Treatment, LLC
4402 Peach St., Suite 4
Erie, PA 16509

Mailing address

4402 Peach St Ste 4
Erie, PA 16509-1375
Phone (814) 616-0075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2019 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD425417PAMDAddiction Medicine (Family Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1295716298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 PEACH ST STE 4",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165091375",
            "telephone_number": "814-616-0075",
            "fax_number": "814-281-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ANDREWS INSTITUTE FOR ADDICTION TREATMENT, LLC",
            "address_2": "4402 PEACH ST., SUITE 4",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16509",
            "telephone_number": "814-616-0075",
            "fax_number": "814-281-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "GREGORY",
        "middle_name": "A",
        "credential": "MD ABPM ABFM FASAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2022-06-02",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "PA",
            "license": "MD425417",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "PA",
            "license": "MD425417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.