NPIMap

Organization Active NPI

Andalusia Physician Practices LLC

Doing business as Andalusia Orthopedics

  • Orthopaedic Surgery Physician
  • Andalusia, AL
National Provider Identifier
1306131834
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ANDALUSIA PHYSICIAN PRACTICES LLC
Doing business as
Andalusia Orthopedics
Practice address
301 Medical Avenue
Suite C
Andalusia, AL 36420
Phone
(334) 222-4449
Fax
(334) 222-4450
NPI assigned
Jun 13, 2011
Last updated
Feb 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Kathy J Teague
Title
Vice President, Corporate Secretary
Phone
(629) 253-5121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary

Addresses

Primary practice location

301 Medical Avenue
Suite C
Andalusia, AL 36420

Mailing address

301 Medical Avenue
Suite C
Andalusia, AL 36420
Phone (334) 222-4449

Other names 1

  • Andalusia Orthopedics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070425000603 AL Part B Supplier - Clinic/Group Practice 7315043007 Receives reassigned benefits from 47 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Andalusia, AL; Opp, AL; Evergreen, AL; Brewton, AL

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

300 Medical Ave
Ste 100
Andalusia, AL 36420
Phone (334) 222-2393

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19364/brand/1/csg/21/fhir/r4

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1306131834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MEDICAL AVENUE",
            "address_2": "SUITE C",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "36420",
            "telephone_number": "334-222-4449",
            "fax_number": "334-222-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MEDICAL AVENUE",
            "address_2": "SUITE C",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "36420",
            "telephone_number": "334-222-4449",
            "fax_number": "334-222-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDALUSIA PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT, CORPORATE SECRETARY",
        "authorized_official_telephone_number": "629-253-5121"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andalusia Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Andalusia Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Andalusia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.