Active NPI
Andrew Marrs
- Physician Assistant
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1219 Walter Reed Rd
Fayetteville, NC 28304-4437 - Phone
- (910) 615-3350
- NPI assigned
- May 10, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1219 Walter Reed Rd
Fayetteville, NC 28304-4437
Mailing address
1219 Walter Reed Rd
Fayetteville, NC 28304-4437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1050 Grove Rd
Greenville, SC 29605-4649
Phone (864) 234-7654
317 Saint Francis Dr
Suite 220
Greenville, SC 29601-3976
Phone (864) 255-1901
35 International Dr
Greenville, SC 29615-4816
Phone (864) 513-1136
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3471 | SC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Medical Group Greenville Specialty Care LLC | Current | Accepting new patients | |
| Bon Secours Medical Group Greenville Specialty Care LLC | Current | Accepting new patients | |
| St Francis Physician Services Inc | Past | Accepting new patients |
Locations
35 International Dr
Greenville, SC 29615
Phone (864) 242-5020
317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901
1050 Grove Rd
Greenville, SC 29605
Phone (864) 242-5020
406 N Poinsett Hwy
Travelers Rst, SC 29690
Phone (864) 834-4151
Interoperability endpoints
- amarrs1153430@direct.bsmhealth.org
- amarrs@poa1920.srs-direct.com
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Greenville, SC
- NPI 1821679580
-
- Orthopaedic Surgery Physician
- Fountain Inn, SC
- NPI 1760361174
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295769438
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pickens, SC
- NPI 1497744254
-
- Home Health Agency
- Simpsonville, SC
- NPI 1306664248
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1730123175
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1467496802
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1023418035
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1376899856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525910400000",
"number": "1396235826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 WALTER REED RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283044437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1219 WALTER REED RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283044437",
"telephone_number": "910-615-3350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRS",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-10",
"last_updated": "2018-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.